Department of Obstetrics and Gynecology, Health Sciences University, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
Department of Obstetrics and Gynecology, Etlik Zübeyde Hanım Training and Research Hospital, Ankara, Turkey.
Low Urin Tract Symptoms. 2020 Sep;12(3):218-222. doi: 10.1111/luts.12307. Epub 2020 Mar 12.
This prospective study aimed to investigate the effects of transobturator tape (TOT) procedure on patients with stress urinary incontinence (SUI) and their spouses' sexual function.
A total of 157 patients with SUI who underwent TOT operation between January 2017 and May 2019 and their spouses were included. All patients enrolled filled out the Incontinence Impact Questionnaire (IIQ-7), the Urogenital Distress Inventory (UDI-6), the Female Sexual Function Index (FSFI), and patients' spouses filled out International Index of Erectile Function (IIEF-5) before surgery and 6 months after the surgery.
The mean value of IIQ-7 and UDI-6 questionnaires in the sixth month after the TOT surgery was lower than the mean scores of these questionnaires before surgery (P < .001). The mean value of the FSFI score was 21.84 ± 1.76 before the surgery and 25.43 ± 1.84 in the sixth month after the surgery (P < .001). There was a significant improvement in desire, arousal, lubrication, orgasm, satisfaction, and pain scores on the FSFI domains (P < .001, <.001, <.001, <.001, <.001 and <.05, respectively). The mean value of the IIEF-5 score of patients' spouses was 48.31 ± 5.23 before surgery and 57.87 ± 7.22 in the sixth month after the surgery (P < .001). Significant improvement was observed in IIEF-5 score regarding sexual desire, intercourse satisfaction, and overall satisfaction domains (P = .012, .002, and .006, respectively).
TOT surgery significantly improves the sexual functions of both patients and their spouses.
本前瞻性研究旨在探讨经闭孔吊带（TOT）手术对压力性尿失禁（SUI）患者及其配偶性功能的影响。
共纳入 2017 年 1 月至 2019 年 5 月期间接受 TOT 手术的 157 例 SUI 患者及其配偶。所有入组患者均在术前和术后 6 个月填写尿失禁影响问卷（IIQ-7）、尿失禁生活质量问卷（UDI-6）、女性性功能指数（FSFI），患者配偶填写国际勃起功能指数（IIEF-5）。
TOT 手术后 6 个月时 IIQ-7 和 UDI-6 问卷的平均值低于手术前的平均值（P <.001）。FSFI 评分的平均值为术前 21.84 ± 1.76，术后 6 个月时为 25.43 ± 1.84（P <.001）。FSFI 各领域的欲望、唤起、润滑、性高潮、满意度和疼痛评分均有显著改善（P <.001，<.001，<.001，<.001，<.001，<.05）。患者配偶的 IIEF-5 评分平均值为术前 48.31 ± 5.23，术后 6 个月时为 57.87 ± 7.22（P <.001）。在性欲望、性交满意度和总体满意度领域，IIEF-5 评分均有显著改善（P =.012，.002，和.006）。
TOT 手术显著改善了患者及其配偶的性功能。
