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Sexual function after urinary incontinence surgery.

G Thiagamoorthy1, S Srikrishna1, L Cardozo1

  • 1King's College Hospital, Denmark Hill, London SE5 9RS, United Kingdom.

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|April 23, 2015
PubMed
Summary
This summary is machine-generated.

Most women maintain or improve sexual function after urinary incontinence (UI) surgery. Pre-operative counseling is crucial to discuss risks, including potential sexual function decline.

Keywords:
DysfunctionSexual functionStressUrgencyUrinary incontinence

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Area of Science:

  • Urology
  • Sexual Medicine

Background:

  • Urinary incontinence (UI) affects a significant percentage of women, with higher prevalence of sexual dysfunction in this group.
  • Sexual dysfunction co-exists in 42-56% of women with UI, impacting quality of life.

Purpose of the Study:

  • To review the impact of surgical treatments for UI on female sexual function.
  • To assess how different surgical procedures affect sexual health outcomes.

Main Methods:

  • Review of surgical interventions for stress UI (Burch colposuspension, mid-urethral sling) and refractory urgency UI (sacral nerve stimulation, augmentation cystoplasty, urinary diversion).
  • Analysis of reported changes in sexual function following these procedures.

Main Results:

  • Burch colposuspension and mid-urethral slings show similar efficacy in maintaining/improving sexual function for stress UI.
  • Urgency UI can worsen post-surgery, negatively impacting sexual function.
  • Sacral nerve stimulation may improve sexual function.
  • Urinary diversion and augmentation cystoplasty, while last resorts, often lead to maintained or improved sexual function by eliminating incontinence.
  • Deterioration of sexual function is reported in up to 37.5% of cases, highlighting the need for better pre-operative counseling.

Conclusions:

  • The majority of women experience stable or enhanced sexual function post-UI surgery.
  • Comprehensive pre-operative assessment and counseling are vital to inform patients about potential risks, including sexual function deterioration.