Ureterorenoscopy with Stenting and Its Effect on Female Sexual Function

Area of Science:

• Urology
• Sexual Medicine
• Female Health

Background:

• Female sexual dysfunction is multifactorial.
• The impact of ureteroscopic stone surgery on female sexual function is not well-established.
• Postoperative stenting is common after ureteroscopic procedures.

Purpose of the Study:

• To investigate the effect of ureteroscopic stone surgery with postoperative stenting on female sexual function.
• To compare sexual function in women with and without ureteral stents after surgery.

Main Methods:

• Prospective study comparing 30 women undergoing ureteroscopic stone surgery with JJ stenting (study group) and 26 women without stenting (control group).
• Female Sexual Function Index (FSFI) used for assessment preoperatively and at 1 and 3 months postoperatively.
• Evaluation of overall satisfaction considering various demographic and psychogenic factors.

Main Results:

• Ureteroscopic stone surgery with JJ stenting adversely affected sexual function.
• While some subscores showed statistical significance between groups, Beck scores minimally improved preoperatively and showed non-significant deterioration postoperatively.
• Psychogenic, educational, and income status remained stable.

Conclusions:

• Ureterorenoscopy with JJ stenting has negative effects on female sexual function.
• Sexual deterioration is temporary, generally resolving by 3 months post-surgery.
• Minimizing or avoiding JJ stenting is recommended; patients should be counseled on potential temporary sexual dysfunction.