Comparison of Sexual Functions in Transobturator Tape Surgeries Performed with Inside-Out Technique and Outside-In Technique

Abstract

Objectives:

To compare the postoperative sexual function results of inside-out transobturator tape (TOT) and outside-in TOT in the treatment of stress urinary incontinence.

Materials and Methods:

The study included 54 women with stress incontinence between 2020 and 2022. Group 1 patients underwent the inside-out transobturator tape (TOT) procedure, while Group 2 patients underwent the outside-in TOT procedure. Female Sexual Function Index (FSFI), Female Sexual Distress Scale-R (FSDS-R), Golombok-Rust Sexual Satisfaction Scale, Quality of Sexual Experience Scale (QSES), and Patient Global Impression of Improvement (PGI-I) were applied to the patients preoperatively and 18 months postoperatively to compare the results of the 2 surgical procedures on sexual functions.

Results:

Postoperative results were statistically significantly higher in both groups. Group 1 was found to be more effective for FSDS, FSFI sexual desire, FSFI sexual arousal, FSFI lubrication, FSFI orgasm, FSFI pain, and FSFI total variables. When the p values of Golombok levels in Groups 1 and 2 were examined, it was concluded that there was a significant difference between the groups because the p values of communication, avoidance, satisfaction, and vaginusmus scales were <0.05.

Conclusion:

When the methods were compared with each other, it was observed that the increase in sexual functions was more significant in the group with inside-out TOT procedure.