Schettino M T, Gallo P, Rappa C, Coppola F, Tormettino B, Del Deo F, Grimaldi A, Torella M
Department of Woman, Child and of General and Specialized Surgery Second University of Studies of Naples, Naples, Italy -
Minerva Ginecol. 2014 Aug;66(4):355-63. Epub 2013 Aug 1.
Stress urinary incontinence (SUI) has been reported to have a negative impact on sexual relations in up to 68% of women. The effect of suburethral sling on sexual functioning has been studies, but the results are still inhomogeneous. This study was undertaken to assess the effect of the transvaginal tension free vaginal tape (TVT), transvaginal tension free vaginal tape - obturate (TVT-O) and minisling procedures (SIS) on sexual function and to also evaluate the male experience respect to sexual activity before and after surgery of partners of women underwent surgery.
We enrolled 150 patients underwent a TVT/TVT-O or SIS for female stress urinary incontinence. All patients enrolled were invited to fill out the Female Sexual Function Index (FSFI) Questionnaire, before surgery and 12 months after surgery. We also evaluate the male experience, through questionnaire, respect to sexual activity before and after surgery of female partner.
At month 12, the mean follow-up FSFI total score in SIS group improved from baseline 22.7±3.83 to 26.2±4.01 (P=0.001), in the TVT group from baseline 22.5±4.11 to 28.5±3.87 (P=0.001) and in the TVT-O group from baseline 23.5±4.48 to 27.7±3.68. The male questionnaires reported an improvement of the sexual function of 84% for TVT group, 82.9% for SIS group and 80,9% for TVT-O group.
In our present study, patients underwent TVT, TVT-O or SIS showed comparable significant improvement of sexual function after sling procedure as evaluated by FSFI.
据报道，压力性尿失禁（SUI）对高达68%的女性的性关系有负面影响。尿道下吊带对性功能的影响已得到研究，但结果仍不一致。本研究旨在评估经阴道无张力尿道中段吊带术（TVT）、经阴道无张力尿道中段吊带术闭孔型（TVT-O）和迷你吊带术（SIS）对性功能的影响，并评估接受手术的女性伴侣在手术前后性行为方面男性的体验。
我们纳入了150例因女性压力性尿失禁接受TVT/TVT-O或SIS手术的患者。所有纳入的患者均被邀请在手术前和手术后12个月填写女性性功能指数（FSFI）问卷。我们还通过问卷评估男性在其女性伴侣手术前后性行为方面的体验。
在第12个月时，SIS组的平均随访FSFI总分从基线的22.7±3.83提高到26.2±4.01（P = 0.001），TVT组从基线的22.5±4.11提高到28.5±3.87（P = 0.001），TVT-O组从基线的23.5±4.48提高到27.7±3.68。男性问卷显示，TVT组性功能改善率为84%，SIS组为82.9%，TVT-O组为80.9%。
在我们目前的研究中，通过FSFI评估，接受TVT、TVT-O或SIS手术的患者在吊带术后性功能均有显著改善且效果相当。
