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Volume 1, Issue 4 (2020)                   J Clinic Care Skill 2020, 1(4): 175-180 | Back to browse issues page


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Mahmoudi F, Ghaffari P, Hosseinpour R. Comparison of Effect of Anterior Colporrhaphy and Transobturator Tape Surgeries on Urinary Incontinence and Sexual Performance in Women. J Clinic Care Skill 2020; 1 (4) :175-180
URL: http://jccs.yums.ac.ir/article-1-69-en.html
1- Midwifery Department, Medicine Faculty, Yasuj University of Medical Sciences, Yasuj, Iran , fatemeh.mahmoodii66@yahoo.com
2- “Obstetrics & Gynecology Department, Medicine Faculty” and “Social Determinants of Health Research Center”, Yasuj University of Medical Sciences, Yasuj, Iran, yasuj
3- Surgical Department, Medicine Faculty, Yasuj University of Medical Sciences, Yasuj, Iran, yasuj
Abstract:   (1234 Views)
Aims: Pelvic floor disorders such as urinary incontinence and pelvic and genital prolapse affect sexual function and quality of life. The aim of the present study was to compare the effect of anterior colporrhaphy and transobturator tape (TOT) surgeries on urinary incontinence and sexual function in women.
Materials & Methods: This retrospective cohort clinical trial study was performed on 136 women with pelvic prolapse and urinary incontinence who referred to Shahid Mofatteh Women's Clinic in Yasuj, Iran, from 2016 to 2018. All patients in the two groups of 68 underwent anterior colporrhaphy and TOT surgeries. Non-random sampling method was performed. Data were collected by Pelvic Organ Prolapse Incontinence Sexual Questionnaire (PISQ) and Female Sexual Function Index (FSFI) before and 6 months after surgery, and analyzed using SPSS 20 software through Chi-square test, independent t-test and paired t-test.
Findings: 77.9% of women had urinary incontinence or leakage during sneezing, coughing, or sexual intercourse, which improved by 95.6% after surgery. The variables of the PISQ questionnaire were significantly different in terms of behavior and emotions and physical factors, before and after TOT and anterior colporrhaphy surgeries (p<0.05). The average total score of women's sexual function before and after surgery did not show a significant difference (p>0.05). In the TOT surgery group, a significant increase was observed in the areas of sexual desire, sexual arousal, orgasm, and sexual satisfaction after surgery.
Conclusion: TOT and anterior colporrhaphy surgeries are effective in relieving urinary incontinence, but TOT surgery is more effective in the long term.
 
Full-Text [PDF 458 kb]   (863 Downloads)    
Article Type: Descriptive Study | Subject: Special
Received: 2019/09/1 | Accepted: 2020/01/6 | Published: 2020/07/23
* Corresponding Author Address: yasuj

References
1. Fuller J, Schaller-Ayers J. Health assessment: a nursing approach. 3rd Edition. Philadelphia: Lippincott Williams & Wilkins; 2000. p.593-6. [link]
2. Edwards WM, Coleman E. Defining sexual health: a descriptive overview. Arch Sex Behav. 2004;33(3):189-95. [link] [DOI:10.1023/B:ASEB.0000026619.95734.d5] [PMID]
3. Jahanfar S, Molaeinezhad M. Textbook of sexual disorders. 3rd Edition. Tehran: Beezhe and Salemi Publication; 2007. [Persian] [link]
4. Bahrami N, Alizadeh S, Bahrami S. Sexual dysfunctions and associated factors in women of Reproductive age . J Shahid Beheshti Nurs Midwifery Fac. 2011;21(75):8-13. [Persian] [link]
5. Ponholzer A, Roehlich M, Racz U, Temml C, Madersbacher S. Female sexual dysfunction in a healthy Austrian cohort: prevalence and risk factors. Eur Urol. 2005:47(3):366-74. [link] [DOI:10.1016/j.eururo.2004.10.005] [PMID]
6. Parish WL, Laumann EO, Pan S, Hao Y. Sexual dysfunctions in urban china: A population-based national survey of men and women. J Sex Med. 2007;4(6):1559-74. [link] [DOI:10.1111/j.1743-6109.2007.00596.x] [PMID]
7. Aslan E, Beji NK, Gungor I, Kadioglu A, Dikencik BK. Prevalence and risk factors for low sexual function in women: a study of 1,009 women in an outpatient clinic of a university hospital in Istanbul. J Sex Med. 2008;5(9):2044-52. [link] [DOI:10.1111/j.1743-6109.2008.00873.x] [PMID]
8. Jafarnejad F, Kazemeini B, Mazloum SR, Emami Moghadam Z, Sefidgran A. Study on the effect of colporrhaphy on women's sexual function and satisfaction. Iran J Obstet Gynecol Infertil. 2013;16(59):14-23. [Persian] [link]
9. Goodarzi F, Rad P, Hekmatzadeh F, Aramesh S. Sexual function in women with genital prolapse before and after Anterior posterior Colporrhaphy (APR). Iran J Obstet Gynecol Infertil. 2016;19(34):1-9. [Persian] [link]
10. Faridi H, Najar S, Javadnoori M. The Relationship between body mass index and women sexual function. Iran J Obstet Gynecol Infertil. 2013;16(74):20-8. [Persian] [link]
11. Kamranpour SB, Oudi M, Dibaj SS, Alizadeh S, Azin SA. Effect of pelvic organ prolapses surgery (POP) on sexual function. J knowledge Health. 2013;8(3):99-104. [Persian] [link]
12. Bastani P, Hajebrahimi S, Hamedani R, Oskuei AP. Female sexual function after modified pelvic floor organ prolapse repair. Med J Tabriz Univ Med Sci Health Ser. 2012;34(1):13-6. [Persian] [link]
13. Ramezani N, Dolatian M, Shams J, Alavi H. The relationship between self-esteem and sexual dysfunction and satisfactoion in women. J Arak Med Univ. 2012;14(6):57-65. [Persian] [link]
14. Altaweel W, Alharbi M. Urinary incontinence: prevalence, risk factors, and impact on health related quality of life in Saudi women. Neurourol Urodyn. 2012;31(5):642-5. [link] [DOI:10.1002/nau.22201] [PMID]
15. Al-badr A, Brasha H, Al-raddadi R, Noorwali F, Ross S. Prevalence of urinary incontinence among saudi women. Int J Gynaecol Obstet. 2012;117(2):160-3. [link] [DOI:10.1016/j.ijgo.2011.12.014] [PMID]
16. Ebbesen MH, Hunskaar S, Rortveit G, Hannestad YS. Prevalence, incidence and remission of urinary incontinence in women; longitudinal data from the Norwegian HUNT study. BMC Urol. 2013;13:27. [link] [DOI:10.1186/1471-2490-13-27] [PMID] [PMCID]
17. Buckley BS, Lapitan MC. Prevalence of urinary incontinence in men, women, and children--current evidence: findings of the fourth international consultation on incontinence. Urology. 2010;76(2):265-70. [link] [DOI:10.1016/j.urology.2009.11.078] [PMID]
18. Magon N, Chopra SV. Transobturator tape in treatment of stress urinary incontinence: it is time for a new gold standard. N Am J Med Sci. 2012;4(5):226-30. [link] [DOI:10.4103/1947-2714.95905] [PMID] [PMCID]
19. Keshvari M, Darabi MR, Abbasioun R. Evaluation of long-term results of tension-free vaginal tape in the management of stress urinary incontinence in women: 6 years follow up. Iran J Obstet Gynecol Infertil. 2010;13(2):31-7. [Persian] [link]
20. Novara G, Ficarra V, Boscolo-Berto R, Secco S, Cavalleri S, Artibani W. Tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials of effectiveness. Eur Urol. 2007;52(3):663-78. [link] [DOI:10.1016/j.eururo.2007.06.018] [PMID]
21. Curts L. Mobys dictionary of medicine, nursing and health professios. 7th Edition. St. Louis: Mosby Elsevier; 2006. p. 1705. [link]
22. Mohammadi K, Heidari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian verion. Payesh. 2008;7(3):269-78. [Persian] [link]
23. Momeni Movahed Z, Pakgohar M, Montazeri A. Pelvic organ Prolapse/Urinary Incontinence sexual Questionnaire (PISQ-12): psychometric validation of the Iranian. Int Urogynecol J. 2015;26(3):433-9. [link] [DOI:10.1007/s00192-014-2520-9] [PMID]
24. Rust J, Derogatis L, Rodenberg C, koochaki P, Schmitt S, Golombok S. Development and validation of a new screening tool for hypoactive sexual desire disorder: the brief profile of female sexual function (B-PFSF). Gynecol Endocrinol. 2007;23(11):638-44. [link] [DOI:10.1080/09513590701592306] [PMID]
25. Tuncer M, Tarhan F, Kafkasli A, Demir K, Yucetas U, Faydaci G, et al. The effects of stress incontinence surgery on sexual function and life quality of women. Arch Ital Urol Androl. 2016;88(2):106-10. [link] [DOI:10.4081/aiua.2016.2.106] [PMID]
26. Brubaker L, Chiang S, Zyczynski H, Norton P, Kalinoski DL, Stoddard A, et al. The impact of stress incontinence surgery on female sexual function. Am J Obstet Gynecol. 2009;200(5):562.e1-7. [link] [DOI:10.1016/j.ajog.2008.11.017] [PMID] [PMCID]
27. Pauls RN, Silva WA, Rooney CM, Siddighi S, Kleeman SD, Dryfhout V, Karram MM. Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol. 2007;197(6):622.e1-7. [link] [DOI:10.1016/j.ajog.2007.08.014] [PMID]
28. Azar M, Noohi S, Radfar S, Radfar MH. Sexual function in women after surgery for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(1):53-7. [link] [DOI:10.1007/s00192-007-0399-4] [PMID]
29. Handa VL, Cundiff G, Chang HH, Helzlsouer KJ. Female sexual funection and pelvic floor disorders. Obstet Gynecol. 2008;111(5):1045-52. [link] [DOI:10.1097/AOG.0b013e31816bbe85] [PMID] [PMCID]
30. Kariman NS, Tarverdi M, Azar M, Alavi Majd H. Evaluating the effects of colporrhaphy on the sexual satisfaction of women. J Reprod Infertil. 2005;6(3):254-60. [Persian] [link]
31. Pace G, Vicentini C. Female sexual function evaluation of the tension-free vaginal tape (TVT) and transobtraturator suburethral tape (TOT) incontinence surgery: results of a prospective study. J Sex Med. 2008;5(2):387-93. [link] [DOI:10.1111/j.1743-6109.2007.00708.x] [PMID]
32. Abu Ali RM, Al Hajeri RM, Khader YS, Ajlouni KM. Factors associated with sexual dysfunction in Jordanian women and their sexual attitudes. Ann Saudi Med. 2009;29(4):270-4. [link] [DOI:10.4103/0256-4947.55312] [PMID] [PMCID]
33. Rogers RG, Coates KW, Kammerer-Doak, D, Khalsa S, Qualls C. A short form of the pelvic organ prolapse/Urinary Incontinence Sexual Questionnaires (PISQ-12). Int Urogynecol J Pelvic Floor Dysfunct. 2003;14(3):164-8. [link] [DOI:10.1007/s00192-003-1063-2] [PMID]
34. Kammerer Doak D. Assessment of sexual function in women with pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20 (Suppl 1):S45-50. [link] [DOI:10.1007/s00192-009-0832-y] [PMID]

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