Paul Fredrick, Rajagopalan Sajeesh, Doddamani Siddalingeshwar C, Mottemmal Remeshbabu, Joseph Sachin, Bhat Suresh
Department of Urology, Government Medical College, Kottayam, Kerala, India.
Indian J Urol. 2015 Apr-Jun;31(2):120-4. doi: 10.4103/0970-1591.152812.
Transobturator tapes (TOT) are frequently used in the management of female stress urinary incontinence (SUI). We evaluated the effect of TOT on sexual function in Indian women with stress urinary incontinence.
34 sexually active women (mean age 42.38 years) with SUI were evaluated before TOT placement for sexual function using the NSF-9 sexual scoring system questionnaire. The evaluation was repeated at the 3(rd), 6(th) and 12(th) months post surgery and then yearly.
There was significant improvement in scores in all domains of sexual function post-surgery. The frequency improved in 24 (70.5%) patients, lubricacy improved in 12 (57.1%) patients, orgasm improved in 21 (67.1%) patients, pain improved in 14 (70%) patients and, in leaking patients, sexual satisfaction improved in 85.7% while in non-leaking patients improvement was seen in 40%. Sexual relation was not satisfactory in 26 (76.4%) of the patients before surgery; of them, 21 (80%) patients had improved sexual satisfaction after surgery. De novo urgency and dyspareunia developed in one and two patients, respectively.
The TOT procedure has no significant negative impact on sexual function and it significantly improves female sexual function and overall sexual satisfaction in majority of the patients with SUI.
经闭孔尿道中段悬吊带术（TOT）常用于女性压力性尿失禁（SUI）的治疗。我们评估了TOT对印度压力性尿失禁女性性功能的影响。
对34名有性生活的压力性尿失禁女性（平均年龄42.38岁）在进行TOT手术前使用NSF-9性功能评分系统问卷评估其性功能。术后第3、6和12个月重复评估，之后每年评估一次。
术后性功能各领域的评分均有显著改善。24名（70.5%）患者的性交频率提高，12名（57.1%）患者的润滑度提高，21名（67.1%）患者的性高潮改善，14名（70%）患者的性交疼痛改善，在有尿液渗漏的患者中，85.7%的患者性满意度提高，而在无尿液渗漏的患者中，40%的患者有改善。术前26名（76.4%）患者的性关系不满意；其中，21名（80%）患者术后性满意度提高。分别有1名和2名患者出现了新发尿急和性交困难。
TOT手术对性功能无显著负面影响，且能显著改善大多数压力性尿失禁患者的女性性功能和总体性满意度。
