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Open AccessArticle

Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence

Multidisciplinary Hospital Warsaw-Miedzylesie, Department of Obstetrics and Gynecology, 04-749 Warsaw, Poland
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J. Clin. Med. 2020, 9(5), 1538; https://doi.org/10.3390/jcm9051538
Received: 1 April 2020 / Revised: 29 April 2020 / Accepted: 18 May 2020 / Published: 20 May 2020
Stress urinary incontinence (SUI) negatively influences sexual functions. However, the available data on sexual activity of patients who underwent midurethral sling (MUS) implantation are inconsistent. Our aim was to evaluate the impact of MUS implantation on sexual functions of women with SUI. We enrolled 171 patients undergoing the MUS procedure. Preoperative examination included the cough test, 1 h pad test and the Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA Revised (PISQ-IR). All patients had the retropubic sling implanted. Follow-up visits were performed 6–12 months after surgery. Objective cure rate was obtained in 90.98% of patients. Coital incontinence was reported by 56% of women before the surgery, and 8.6% afterwards. Among women who gained continence, significant improvement in sexual function was observed in the majority of the domains. In women who were not objectively cured (9.02%), we did not observe improvement in sexual life. All these patients indicated fear of leaking urine during sexual activity as the main cause of avoiding sex, similarly as before operation. To conclude, successful treatment of SUI with MUS significantly improves the quality of sexual life. On the other hand, persistent incontinence appears to be the most probable cause of lack of improvement in the quality of sexual life. View Full-Text
Keywords: midurethral sling; urinary incontinence; female sexual function; quality of life midurethral sling; urinary incontinence; female sexual function; quality of life
MDPI and ACS Style

Horosz, E.; Zwierzchowska, A.; Pomian, A.; Majkusiak, W.; Tomasik, P.; Barcz, E. Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence. J. Clin. Med. 2020, 9, 1538.

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