Skip to main content

Advertisement

SpringerLink
Log in

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

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

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

    Article  PubMed  Google Scholar 

  2. 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

    Article  PubMed  PubMed Central  Google Scholar 

  3. 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

    Article  Google Scholar 

  4. 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

    Article  PubMed  Google Scholar 

  5. 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

    Article  PubMed  Google Scholar 

  6. Maggiore ULR, Agrò EF, Soligo M, Li Marzi V, Digesu A, Serati M (2017) Long-term outcomes of TOT and TVT procedures for the treatment of female stress urinary incontinence: a systematic review and meta-analysis. Int Urogynecol J 28(8):1119–1130. https://doi.org/10.1007/s00192-017-3275-x

    Article  Google Scholar 

  7. Delorme E, Droupy S, De Tayrac R, Delmas V (2004) Transobturator Tape (Uratape®): a new minimally-invasive procedure to treat female urinary incontinence. EurUrol 45(2):203–207. https://doi.org/10.1016/j.eururo.2003.12.001

    Article  Google Scholar 

  8. Hines TM (2001) The G-spot: a modern gynecologic myth. Am J Obstet Gynecol 185(2):359–362. https://doi.org/10.1067/mob.2001.115995

    Article  CAS  PubMed  Google Scholar 

  9. Hilliges M, Falconer C, Ekman-Ordeberg G, Johansson O (1995) Innervation of the human vaginal mucosa as revealed by pgp 9.5 immunohistochemistry. Cells Tissues Organs 153(2):119–126. https://doi.org/10.1159/000147722

    Article  CAS  Google Scholar 

  10. Caruso S, Rugolo S, Bandiera S, Mirabella D, Cavallaro A, Cianci A (2007) Clitoral blood flow changes after surgery for stress urinary incontinence: pilot study on TVT Versus TOT Procedures. Urology 70(3):554–557. https://doi.org/10.1016/j.urology.2007.04.045

    Article  PubMed  Google Scholar 

  11. Lowenstein L, Mustafa S, Gartman I, Gruenwald I (2016) Effect of midurethral sling surgery on vaginal sensation. J Sex Med 13(3):389–392. https://doi.org/10.1016/j.jsxm.2016.01.006

    Article  PubMed  Google Scholar 

  12. Jong M, Van Arts-De ltena AM, Aalders CIM, Dijkhuizen FPHLJ, Van Balken MR (2011) Improvement of sexual function after transobturator tape procedure in women with stress urinary incontinence. Gynecol Surg 8(3):315–319. https://doi.org/10.1007/s10397-010-0643-7

    Article  Google Scholar 

  13. Kobashi KC et al (2017) Surgical treatment of female stress urinary incontinence: AUA/SUFU Guideline. J Urol 198(4):875–883. https://doi.org/10.1016/j.juro.2017.06.061

    Article  PubMed  Google Scholar 

  14. Rosen R et al (2000) The female sexual function index (Fsfi): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 26(2):191–205. https://doi.org/10.1080/009262300278597

    Article  CAS  PubMed  Google Scholar 

  15. Takahashi TA, Johnson KM (2015) Menopause. Med Clin N Am 99(3):521–534. https://doi.org/10.1016/j.mcna.2015.01.006

    Article  PubMed  Google Scholar 

  16. Cam C, Sakalli M, Ay P, Cam M, Karateke A (2007) Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn 26(1):129–133. https://doi.org/10.1002/nau.20292

    Article  PubMed  Google Scholar 

  17. Sentilhes L, Berthier A, Caremel R, Loisel C, Marpeau L, Grise P (2008) Sexual function after transobturator tape procedure for stress urinary incontinence. Urology 71(6):1074–1079. https://doi.org/10.1016/j.urology.2008.01.020

    Article  PubMed  Google Scholar 

  18. Lemack GE, Zimmern PE (2000) Sexual function after vaginal surgery for stress incontinence: results of a mailed questionnaire. Urology 56(2):223–227. https://doi.org/10.1016/S0090-4295(00)00626-9

    Article  CAS  PubMed  Google Scholar 

  19. Karmakar D, Mostafa A, Abdel-Fattah M (2017) Long-term outcomes of transobturator tapes in women with stress urinary incontinence: E-TOT randomised controlled trial. BJOG An Int J Obstet Gynaecol 124(6):973–981. https://doi.org/10.1111/1471-0528.14561

    Article  CAS  Google Scholar 

  20. Serati M, Salvatore S, Uccella S, Nappi RE, Bolis P (2009) Female urinary incontinence during intercourse: A review on an understudied problem for women’s sexuality. J Sex Med 6(1):40–48. https://doi.org/10.1111/j.1743-6109.2008.01055.x

    Article  PubMed  Google Scholar 

  21. Mota RL (2017) Female urinary incontinence and sexuality. Int Braz J Urol 43(1):20–28. https://doi.org/10.1590/S1677-5538.IBJU.2016.0102

    Article  PubMed  PubMed Central  Google Scholar 

  22. Kamalak Z, Köşüş A, Hizli F, Köşüş N, Hizli D, Kafali H (2014) Does quality of female sexual function improve after a transobturator tape procedure? J Obstet Gynaecol (Lahore) 34(6):512–514. https://doi.org/10.3109/01443615.2014.911833

    Article  CAS  Google Scholar 

  23. Battaglia C et al (2010) PCOS and urethrovaginal space: 3-D volumetric and vascular analysis. J Sex Med 7(8):2755–2764. https://doi.org/10.1111/j.1743-6109.2009.01651.x

    Article  PubMed  Google Scholar 

  24. Elzevier HW, Putter H, Delaere KPJ, Venema PL, Nijeholt AABLÀ, Pelger RCM (2008) Female sexual function after surgery for stress urinary incontinence: transobturator suburethral tape vs. tension-free vaginal tape obturator. J Sex Med 5(2):400–406. https://doi.org/10.1111/j.1743-6109.2007.00671.x

    Article  PubMed  Google Scholar 

  25. Salonia A et al (2004) Sexual Dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study. EurUrol 45(5):642–648. https://doi.org/10.1016/j.eururo.2003.11.023

    Article  Google Scholar 

  26. Yang SH, Yang JM, Wang KH, Huang WC (2008) Biologic correlates of sexual function in women with stress urinary incontinence. J Sex Med 5(12):2871–2879. https://doi.org/10.1111/j.1743-6109.2008.00985.x

    Article  PubMed  Google Scholar 

  27. Basson R, Wierman ME, van Lankveld J, Brotto L (2010) Summary of the recommendations on sexual dysfunctions in women. J Sex Med 7(1 PART 2):314–326. https://doi.org/10.1111/j.1743-6109.2009.01617.x

    Article  PubMed  Google Scholar 

  28. Pace G, Vicentini C (2008) Female sexual function evaluation of the tension-free vaginal tape (TVT) and transobturator suburethral tape (tot) incontinence surgery: Results of a prospective study. J Sex Med 5(2):387–393. https://doi.org/10.1111/j.1743-6109.2007.00708.x

    Article  PubMed  Google Scholar 

  29. Sentilhes L, Berthier A, Loisel C, Descamps P, Marpeau L, Grise P (2009) Female sexual function following surgery for stress urinary incontinence: Tension-free vaginal versus transobturator tape procedure. Int Urogynecol J 20(4):393–399. https://doi.org/10.1007/s00192-008-0778-5

    Article  Google Scholar 

  30. Cholhan HJ, Hutchings TB, Rooney KE (2010) Dyspareunia associated with paraurethral banding in the transobturator sling. Am J Obstet Gynecol 202(5):481.e1-481.e5. https://doi.org/10.1016/j.ajog.2010.01.061

    Article  Google Scholar 

  31. Narin R, Attar R, Narin MA, Koyuncu D, Yencilek E (2014) Impact of transobturator tape procedure on female and their partner sexual function: it improves sexual function of couples. Arch Gynecol Obstet 290(5):913–917. https://doi.org/10.1007/s00404-014-3259-8

    Article  PubMed  Google Scholar 

  32. Schettino MT, Gallo P, Rappa C, et al (2014) Sexual function in patients who underwent surgery for stress urinary incontinence- PubMed. 2014, pp. 355–418, Aug. 2014, [Online]. https://pubmed.ncbi.nlm.nih.gov/23903373/. Accessed17 Aug 2020

  33. Ko YH, Song CH, Choi JW, Jung HC, Song PH (2016) Effect on sexual function of patients and patients’ spouses after midurethral sling procedure for stress urinary incontinence: a prospective single center study. Low Urin Tract Symptoms 8(3):182–185. https://doi.org/10.1111/luts.12097 (Epub 2015 Mar 19 PMID: 27619784)

    Article  PubMed  Google Scholar 

Download references

Funding

No funding received for this work.

Author information

Authors and Affiliations

  1. Faculty of Health Science, Avrasya University, Ortahisar, Trabzon, Turkey

    Hasan Turgut

  2. Department of Urology, Medicalpark Karadeniz Hospital, 61000, Trabzon, Turkey

    Hasan Turgut

  3. Department of Urology, Baskent University, Ankara, Turkey

    Eray Hasırcı

  4. Dr. Ersin, Arslan Training and Research Hospital, Gaziantep, Turkey

    Mehmet Sinan Atkın

  5. Anadolu Health Center, Urology, Gebze, Kocaeli, Turkey

    Tolga Muharrem Okutucu

  6. Ünye Hospital, Ünye, Ordu, Turkey

    Fatih Ileri

  7. Department of Anesthesia, Medicalpark Karadeniz Hospital, Trabzon, Turkey

    Aylin Ozdemir

  8. Department of Obstetrics and Gynaecology, Medicalpark Hospital, Antalya, Turkey

    Sibel Surmen Usta

  9. Department of Urology, Medicalpark Hospital, Antalya, Turkey

    Mehmet Sarier

Authors
  1. Hasan Turgut
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eray Hasırcı
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mehmet Sinan Atkın
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tolga Muharrem Okutucu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Fatih Ileri
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Aylin Ozdemir
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Sibel Surmen Usta
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Mehmet Sarier
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

HT: Writing-Concept, HT, EH, MSA, TMO, FI, SSU, MS: Data collection, HT, EH, AO, MSA: Literature Search, HT, MS, TMO: Critical Review, HT, AO, SSU: Analysis, HT: Other.

Corresponding author

Correspondence to Hasan Turgut.

Ethics declarations

Conflict of interest

All authors declare no conflict of interest.

Ethical approval

The study was approved by the Medicalpark Karadeniz Hospital ethics committee (Approval no:2018/01/267) and written informed consent was received from all participants. The study protocol conformed to the ethical guidelines of the 1975 Helsinki Declaration.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Turgut, H., Hasırcı, E., Atkın, M.S. et al. Does the sexual function of the spouses change after the TOT procedure?. Arch Gynecol Obstet 303, 1489–1494 (2021). https://doi.org/10.1007/s00404-020-05920-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-020-05920-9

Keywords

Search

Navigation