Does vaginal anti-incontinence surgery affect sexual satisfaction? A comparison of TVT and Burch-colposuspension

Oktay Demirkesen, Bulent Onal, Burcin Tunc, Bulent Alici, Bulent Cetinele
2008 International Brazilian Journal of Urology  
Objective: To evaluate the sexual satisfaction rates of women who underwent tension-free vaginal tape (TVT) procedure for stress urinary incontinence and compare it with the results of Burch-colposuspension. Materials and Methods: A self-administered questionnaire was given to 81 patients who had undergone TVT or Burchcolposuspension at our institution to determine sexual satisfaction rates and reasons for dissatisfaction. Forty-seven patients in TVT group and 22 patients in
more » ... Burch-colposuspension group were considered eligible for the study. The mean follow-up period and age of patients in TVT and Burch-colposuspension groups were 34 months, 51.5 years and 89 months, 52.9 Results: When evaluating sexual satisfaction, 73% in the TVT group and 86% in the Burch-colposuspension group did not report any difference in sexual satisfaction following surgery, while in the TVT group, 23% expressed negative and 4% positive changes, and in the Burch-colposuspension group 9% expressed negative and 5% positive post surgical changes. of those who expressed a negative change suffered from dyspareunia. Conclusions: Although sexual satisfaction seems to be more adversely affected by TVT compared to Burch-colposuspentechniques in order to arrive at more precise conclusions.
doi:10.1590/s1677-55382008000200012 pmid:18462520 fatcat:pwc3qptabfbsdi5yo2u7mlrxle