To assess the sexuality and quality of life of sexually active women with stress or mixed urinary incontinence (SUI/MUI) after surgery with adjustable tension-free suburethral mesh system (TOA/TVA).
This intervention study with two years of follow-up (visits at three months, one year and two years) involved 60 women with SUI/MUI who underwent surgery using TOA/TVA during 2008-2014 in a Spanish region. The variables of interest measured pre- and post-intervention were the global scores on the following questionnaires: 1) Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire-12 (PISQ-12), the International Consultation on Incontinence Questionnaire (ICIQ-SF) and the Incontinence Quality of Life Questionnaire (I-QOL). Mixed linear models were constructed to determine the effect of the intervention on the outcome variables.
A significant improvement (p<0.001) was seen over time in all the questionnaires, although between the one- and two-year visits there was a slight deterioration in all of them.
The technique provided an improved quality of life and sexuality, which was maintained at all the postoperative visits compared to baseline.
Urology. 2018 Mar 06 [Epub ahead of print]
Carla Pérez-Tomás, Luis Gómez-Pérez, Jesús Romero-Maroto, Antonio Palazón-Bru, Felipe Navarro-Cremades, Ernesto Cortés-Castell
Department of Urology, University Hospital of San Juan de Alicante, San Juan de Alicante, Alicante, Spain., Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain. Electronic address: ., Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain., Department of Pharmacology, Paediatrics and Organic Chemistry, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.