Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jun;303(6):1489-1494.
doi: 10.1007/s00404-020-05920-9. Epub 2021 Jan 2.

Does the sexual function of the spouses change after the TOT procedure?

Hasan Turgut  1   2 , Eray Hasırcı  3 , Mehmet Sinan Atkın  4 , Tolga Muharrem Okutucu  5 , Fatih Ileri  6 , Aylin Ozdemir  7 , Sibel Surmen Usta  8 , Mehmet Sarier  9
Affiliations

Does the sexual function of the spouses change after the TOT procedure?

Hasan Turgut et al. Arch Gynecol Obstet. 2021 Jun.

Abstract

Aim: This prospective study aimed to evaluate sexual function in women who underwent transobturator tape (TOT) sling surgery and their male sexual partners compared to before the procedure.

Materials and methods: The study included a total of 202 women with stress urinary incontinence who underwent the TOT procedure between April 2018 and February 2020, and their partners. All of the women completed the Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory (UDI-6), and Female Sexual Function Index (FSFI) questionnaire while their partners completed the International Index of Erectile Function (IIEF-5) questionnaire before and 6 months after the procedure.

Results: Mean IIQ-7 and UDI-6 scores were significantly lower at postoperative month 6 compared to preoperative values (p < 0.001). Mean FSFI scores were 22.5 ± 1.7 preoperatively and 27.8 ± 1.6 at postoperative month 6 (p < 0.001). Pain score did not change significantly (p = 0.4), but there were significant increases in the other FSFI domains of desire, arousal, lubrication, and satisfaction (p < 0.001, p < 0.001, p < 0.001, p < 0.001). The partners' mean IIEF score was 50.05 ± 5.4 preoperatively and increased to 59.7 ± 6.8 postoperatively (p < 0.001). No significant differences were detected in erectile or orgasmic function (p = 0.16, p = 0.67), whereas desire, intercourse satisfaction, and overall satisfaction scores increased significantly (p < 0.001, p < 0.001, p < 0.001).

Conclusion: TOT surgery improves sexual function not only in women but also their partners.

Keywords: Female sexual function index; International index of erectile function; Sexual function; Transobturator tape procedure.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Altaweel W, Alharbi M (2012) Urinary incontinence: Prevalence, risk factors, and impact on health related quality of life in Saudi women. Neurourol Urodyn 31(5):642–645. https://doi.org/10.1002/nau.22201 - DOI - PubMed
    1. Ptak M, Brodowska A, Ciećwież S, Rotter I (2017) Quality of life in women with stage 1 stress urinary incontinence after application of conservative treatment—a randomized trial. Int J Environ Res Public Health. https://doi.org/10.3390/ijerph14060577 - DOI - PubMed - PMC
    1. Liang CC, Tseng LH, Lo TS, Lin YH, Lin YJ, Chang SD (2012) Sexual function following outside-in transobturatormidurethral sling procedures: a prospective study. Int Urogynecol J Pelvic Floor Dysfunct 23(12):1693–1698. https://doi.org/10.1007/s00192-012-1792-1 - DOI
    1. Hevesi K, Mészáros V, Kövi Z, Márki G, Szabó M (2017) Different characteristics of the female sexual function index in a sample of sexually active and inactive women. J Sex Med 14(9):1133–1141. https://doi.org/10.1016/j.jsxm.2017.07.008 - DOI - PubMed
    1. Lim R, Liong ML, Leong WS, Khan NAK, Yuen KH (2018) Sexual function in couples with or without female incontinent partners: correlates and predictors. Urology 112:46–51. https://doi.org/10.1016/j.urology.2017.10.037 - DOI - PubMed

LinkOut - more resources