Orgasm after transvaginal tape
To evaluate the sexual satisfaction rates of women who underwent tension-free vaginal tape TVT procedure for stress urinary incontinence and compare it with the results of Burch-colposuspension. A self-administered questionnaire was given to 81 patients who had undergone TVT or Burch-colposuspension at our institution to determine sexual satisfaction rates and reasons for dissatisfaction. Forty-seven patients in TVT group and 22 patients in Burch-colposuspension group were considered eligible for the study. The mean follow-up period and age of patients in TVT and Burch-colposuspension groups were 34 months,
BioMed Research International
Sexual Function in Women with Stress Urinary Incontinence Treated with the SPARC Sling System
Discussion Several studies have assessed sexual function in women following surgery for SUI, and these studies have suggested that sexual function can be positively or negatively affected. Surgical procedures and psychosocial issues likely contribute to altered sexual function following vaginal surgery. Improvements in sexual function following vaginal surgery are believed to be due to the cessation of incontinence during intercourse, whereas worsening sexual function is believed to be caused by dyspareunia following perineorrhaphy. Although it is hoped that sexual function would improve following surgery for SUI, particularly among those women who had either dyspareunia or leakage during intercourse preoperatively, it is possible that vaginal surgery could be detrimental to sexual activity. Some investigators have evaluated the effects of mid to distal polypropylene slings on sexual function [ 19 , 20 ]. In another study comparing sexually active women undergoing the TVT procedure with healthy, sexually active controls using the Index of Female Sexual Function, no difference was found in the overall scores preoperatively and postoperatively. However, the investigators reported a statistically significant worsening of orgasm, pain, and satisfaction after TVT compared with controls [ 20 ].
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Three women with reduced sexual function prior surgery achieved normal sexual function postoperatively. Total FSFI-score remained unchanged in all 33 pre- and postoperative sexual active women, as the subscores did of the various domains, with the exception of the domains desire and satisfaction Table 4. Scores of women with reduced sexual function at baseline increased significantly in the domains desire, arousal, lubrication, orgasm, satisfaction, and total FSFI-score postoperatively, but sexual function remained unchanged in women with normal sexual function. Results of the different subgroups are shown in Table 5.
Sexual func- tions desire, arousal, orgasm, pain and satisfaction Introduction were evaluated with the Index of Female Sexual Func- tion IFSF , and continence status during sexual inter- Female sexual dysfunction FSD as a clinical term course was asked about both preoperatively and includes a variety of sexual problems, but problems with postoperatively in the 6th month. The mean domain female sexuality are not as well recognized as male scores of sexual functions such as desire, arousal, sexual problems. These are sexual desire disorders, sexual 3. In cal research focused on the problems that plague female comparison with the control group, whereas all of the sexuality [1, 2, 3]. The close anatomic except for desire and arousal.