Introduction: Sexual dysfunction is a common condition in females with stress urinary incontinence (SUI). The use of transobturator tape (TOT) has shown favorable clinical outcomes for treatment of SUI, however, the effect on female sexual function remains unclear.
Objectives: To study the effect of TOT used for treatment of female SUI on female sexual function.
Patients and Methods: From 2011–2013, 130 females with SUI underwent TOT surgery (outside in technique). Patients underwent history and physical examination, routine laboratory investigations and complete urodynamic study. All patients were evaluated using the Urogenital Distress Inventory Questionnaire (UDI6) and female sexual function index (FSFI) questionnaire (Arabic versions). 99 patients were sexually active and 31 were not. All patients were evaluated preoperatively and 6 months after TOT. All data collected, tabulated and statistically analyzed.
Results: The mean age of study group was 43.4 years. The mean duration of SIU was 2.5 years. The success rate, defined as cure and improvement was 96.2% (121 cured, 4 improved). Significant improvement in UDI-6 was observed (see Table). 91% of sexually active women achieved significant improvement in the sexual life and FSFI (see Table). No woman experienced postoperative dyspareunia.
Questionnaire (maximum score) Overall Group Continence Improved Continence not improved
Pre Post Pre Post Pre Post
UDI-6 (18) 13.15 ± 1.63 5.9 ± 70 13.44 ± 2.06 5.79 ± 1.37 13.00 ± 4.35 13.2 ± 4.6
FSFI (36) 13.15 ± 7.87 19.54 ± 11.00 14.03 ± 4.30 20.25 ± 10.61 1.8 ± 0.44 1.4 ± 0.54
Conclusion: SUI has negative impact on the female sexual life and correction of SUI by TOT had a significant positive impact on sexual life.
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