Abstract

Objective: Stress urinary incontinence is one of the diseases that change the quality of life of women. Although there are various medical and surgical treatment modalities exist, transobturator tape surgery is one of the current options with the least complication rates. The aim of this systematic review was to evaluate sexual functional results after the transobturator tape procedure.study desıgn: Data were taken from those cohort, case-control and cross-sectional studies that were done with human subjects in full texts, were written in the English language.Results: A total of 24 clinical trials were evaluated. The most frequently administered scales were the female sexual function index and The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire -12. In total, 8 clinical studies employed female sexual function index whereas 8 clinical studies administered Prolapse/Urinary Incontinence Sexual Questionnaire -12. 4 of these studies tried to understand women’s sexual functions through questions determined by the researchers (N/A). 2 of the other studies used the Sexual Impact Questionnaire and a visual analogue scale, 1 study used Nine Questions on Sexual Functioning (NSF-9) and 1 study used International Consultation on Incontinence Questionnaire Vaginal Symptoms Module (ICIQ-VS). It was found that transobturator tape surgery that is performed for incontinence produces positive results on both sexual functions and urinary functions.Conclusion: Maintaining urinary continence is detected to directly be correlated with sexual functions. It is of high importance that before initiating surgical treatments, clinicians should give the patients a detailed medical examination in terms of both urinary and sexual functions.

Highlights

  • Stress urinary incontinence is involuntary incontinence that occurs when abdominal pressure rises or is provoked by physical activities [1]

  • It was found that transobturator tape surgery that is performed for incontinence produces positive results on both sexual functions and urinary functions

  • It is of high importance that before initiating surgical treatments, clinicians should give the patients a detailed medical examination in terms of both urinary and sexual functions

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Summary

Introduction

Stress urinary incontinence is involuntary incontinence that occurs when abdominal pressure rises or is provoked by physical activities [1]. Involuntary actions such as laughing, Submitted for Publication: Revised for Publication: Accepted for Publication: ORCID IDs of the authors: EY: 0000-0001-7937-4141, NB:0000-0002-4246-3607, UG:0000-0002-0848-9731, ÖK:0000-0003-3994-0094. Quick Response Code: Access this article online. How to cite this article: Yildirim E. Gynecol Obstet Reprod Med 2020;26(2):155161 coughing, and sneezing, which increases intraabdominal pressure, can cause urinary incontinence. Stress urinary incontinence incidence varies between 40% and 72% [3]. The parallelism between discomfort patients experience and incontinence severity was found [4]

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