Abstract: PD44-02
Sources of Funding: None

Introduction

The midurethral sling (transobturator tape [TOT]) procedure has been widely performed for treatment of urinary incontinence; however, little has been reported regarding sexual function after surgery. Our previous study reported sexual function in couples after TOT procedure. In this prospective study, we investigated the sexual function follow-up outcomes in these patients and their spouses.

Methods

Between September 2012 and June 2013, 65 patients undergoing TOT and their sexual partners were enrolled. The validated self-administered questionnaires, Female Sexual Function Index (FSFI) and satisfaction domain of the Male Sexual Health Questionnaire (MSHQ), were used to evaluate the couples&[prime] sexual function. They completed the questionnaires before the procedure, at 3, 6, and 12 months after the procedure and every year for 3 years.

Results

Of 65 couples, 48 couples completed this study. The mean ages of the patients and their partners were 44.7 ± 5.8 and 47.2 ± 6.1 years, respectively. The mean follow-up period was 38.4 ± 2.4 months. A significant decrease in the total FSFI score was observed at 3 postoperative months (P = 0.003), which recovered at 6 postoperative months. A significant improvement was observed in the total FSFI score from baseline to 36 postoperative months (P < 0.001). There were significant improvements in desire, arousal, orgasm, and satisfaction in the FSFI domains (P = 0.014, 0.011, 0.015, and < 0.001, respectively). For the male partner, there was no statistically significant correlation between 12 and 36 postoperative months although the MSHQ satisfaction domain scores tended to increase over the long-term follow-up.

Conclusions

Over 3 years of follow-up, the outcomes suggest that sexual satisfaction for patients and their partners improved following the TOT procedure, and was relatively well maintained.

Funding

None