OBJECTIVE: The purpose of this prospective study was to evaluate urinary and sexual function after the tension-free vaginal tape (TVT) support procedure for stress urinary incontinence (SUI). METHODS: Between January 1999 and July 2002 a total of 71 patients underwent comprehensive examination including urodynamics and a mailed self-administered questionnaire for assessment of voiding and sexual function before and after treatment of SUI by TVT. RESULTS: Based on objective findings TVT was considered as curative in 48 patients (87.3%). Comparison of preoperative and postoperative urodynamic evidence demonstrated a significant outflow obstruction (<12 ml/s) in 19 patients (34.5%). A significant decrease in peak urinary flow during voiding (p < 0.001) was also observed. Of the 55 women (78.5%) who responded to the questionnaire before and after TVT, 42 (76.3%) reported satisfaction with the outcome. Postoperatively, 60% of patients reported voiding difficulty, 47.2% complained of urgency, and 32.7% of frequency. Regarding sexual function 20% reported impairment after surgery including dyspareunia in 14.5% (none preoperatively vs. eight postoperatively, <0.01) and loss of libido in 5.4%. CONCLUSION: The TVT procedure is an effective treatment for SUI. However, it can lead to postoperative voiding and sexual impairment.
OBJECTIVE: The purpose of this prospective study was to evaluate urinary and sexual function after the tension-free vaginal tape (TVT) support procedure for stress urinary incontinence (SUI). METHODS: Between January 1999 and July 2002 a total of 71 patients underwent comprehensive examination including urodynamics and a mailed self-administered questionnaire for assessment of voiding and sexual function before and after treatment of SUI by TVT. RESULTS: Based on objective findings TVT was considered as curative in 48 patients (87.3%). Comparison of preoperative and postoperative urodynamic evidence demonstrated a significant outflow obstruction (<12 ml/s) in 19 patients (34.5%). A significant decrease in peak urinary flow during voiding (p < 0.001) was also observed. Of the 55 women (78.5%) who responded to the questionnaire before and after TVT, 42 (76.3%) reported satisfaction with the outcome. Postoperatively, 60% of patients reported voiding difficulty, 47.2% complained of urgency, and 32.7% of frequency. Regarding sexual function 20% reported impairment after surgery including dyspareunia in 14.5% (none preoperatively vs. eight postoperatively, <0.01) and loss of libido in 5.4%. CONCLUSION: The TVT procedure is an effective treatment for SUI. However, it can lead to postoperative voiding and sexual impairment.
Authors: Alison De Souza; Peter L Dwyer; Anna Rosamilia; Richard Hiscock; Yik N Lim; Christine Murray; Elizabeth Thomas; Christine Conway; Lore Schierlitz Journal: Int Urogynecol J Date: 2011-07-21 Impact factor: 2.894
Authors: Linda Brubaker; Seine Chiang; Halina Zyczynski; Peggy Norton; D Lynn Kalinoski; Anne Stoddard; John W Kusek; William Steers Journal: Am J Obstet Gynecol Date: 2009-03-16 Impact factor: 8.661