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Sexual Function and Discomfort in Women After Midurethral Sling Surgery.

Int Urogynecol J

November 2024

Department of Gynecology, Urogynecology Unit, University Hospital of Nîmes, CHU Caremeau, Place du Professeur-Robert-Debré, 30029, Nîmes, France.

Article Synopsis
  • The study aimed to assess the impact of midurethral sling (MUS) surgery on sexual function over the medium term, comparing results pre- and post-op using a specific questionnaire.
  • Conducted at a tertiary urogynecology center, it involved 118 patients who had MUS surgery and 128 volunteers without prior surgery, with a matched case-control approach based on age and menopausal status.
  • Results indicated no significant differences in sexual discomfort or function between patients and controls; however, a higher percentage of patients reported a sensation of vaginal obstruction, but overall, the surgery did not appear to negatively affect sexual quality of life.
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Introduction: The synthetic mid-urethral slings are currently considered to be the most widely used technique for the surgical treatment of stress urinary incontinence (SUI). The most challenging aspect of the existing approaches is to achieve the optimal tension of the sling which treatment results are directly dependent on. To solve this problem, sling systems enabling an adjustment of the tension in the early postoperative period were created.

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Objective: This study aimed to assess the efficacy of single and repeat transurethral bladder neck incision (TUI-BN) for female voiding dysfunction caused by bladder outlet obstruction (BNO). Further, the predictive factors associated with better treatment outcomes were identified.

Methods: Women with voiding difficulty due to BNO who underwent TUI-BN were included in this research.

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Low detrusor contractility has a less favorable outcome of anti-incontinence surgery for women with stress urinary incontinence.

Int Urol Nephrol

November 2023

Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, and Tzu Chi University, Hualien, Taiwan.

Purpose: Few studies exist comparing the effect of different lower urinary tract dysfunctions (LUTDs) on anti-incontinence surgery. This study investigates the long-term therapeutic outcome of a suburethral sling procedure among women with stress urinary incontinence (SUI) and different LUTDs.

Methods: This study retrospectively reviewed 401 women treated with a suburethral sling for SUI.

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Article Synopsis
  • The study evaluated the effectiveness of a tension-free vaginal tape procedure for treating female stress urinary incontinence, aiming to compare its success with the occurrence of voiding dysfunction.
  • Over a 1-year period, 93% of the 319 patients reviewed reported being dry, with a 10.9% incidence of voiding dysfunction noted.
  • Factors linked to an increased risk of voiding dysfunction included having an underactive bladder, low preoperative urinary flow rate, and prior incontinence surgery, but overall, the procedure demonstrated a high cure rate and minimal serious complications.
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