Evaluation of the Effect of Tension Free Vaginal Tape (TVT) and Trans-Obturator Suburetheral Tape (TOT) for Treatment of Stress Urinary Incontinence on Female Sexual Function

Objectives: To evaluate the impact of correction of stress urinary incontinence (SUI) using either Transobturator tape (TOT) or Tension-free vaginal tape (TVT) procedure on females’ sexual function. Patients and Methods: The study included 80 women with SUI; 40 underwent TVT and 40 underwent TOT and completed preoperative Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12) for evaluation of sexual function in compared to before getting incontinent. All women were subjected for re-evaluation of sexual function at 6-month postoperative in comparison to preoperative scoring. The study also included 40 women free of SUI and completed the PISQ-12 questionnaire as control group. Results: Preoperative PISQ-12 scorings for both groups were significantly lower compared to scoring of control women, with non-significantly higher preoperative scores of women had TOT compared to those had TVT. Postoperative PISQ-12 scorings for both groups were significantly lower compared to scoring of control women, but were significantly higher compared to their respective preoperative scoring. Mean postoperative scoring for patients who had TVT was non-significantly higher compared to those who had TOT. Conclusion: SUI had a deleterious effect on female sexual function and quality of life; however, surgical correction could ameliorate such effect, irrespective of the approach applied which could be chosen according to surgeon’s experience and preference.