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Title: Sexual Function Improves After Fascial Sling or Burch Colposuspension Surgery for Urinary Incontinence: Presented at AUGS
URL: http://www.pslgroup.com/dg/22AF96.htm
Doctor's Guide
September 5, 2008

By Laura Gater

CHICAGO -- September 5, 2008 -- Women who undergo a Burch colposuspension or fascial sling for treatment of urinary incontinence (UI) and achieve a successful surgical outcome also report improved sexual function 2 years after surgery, according to research presented the results here at the American Urogynecologic Society 19th Annual Scientific Meeting (AUGS).

Women with UI have poorer sexual function than continent women, said lead researcher Linda Brubaker, MD, Department of Urology, Loyola University, Chicago, Illinois, in a presentation on September 4.

The aim of the study was to describe changes in sexual function and correlates of change 2 years after surgery for stress urinary incontinence (SUI).

This study used data from the Stress Incontinence Surgical Treatment Efficacy Trial (SISTEr), in which women were randomised to Burch colposuspension or fascial sling for predominant SUI.

At baseline, women who reported no sexual activity had lower scores on the Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12) compared with women who remained sexually active (27.5 vs 32.3; P < .001).

At the 2-year evaluation, women who reported sexual activity had a mean PISQ-12 total score of 36.85 (P < .0001 from baseline).

Dr. Brubaker noted that improvement in sexual activity was associated with surgical success. Presence of UI improved sexual function in women planning continence surgery, and sexual function improved following successful surgery without regard to Burch versus sling.

There was, however, no significant change in the frequency of orgasm, sexual desire, excitement, or satisfaction after surgery.

At the 2-year follow-up, fewer sexually active subjects reported incontinence, restriction of sexual activity due to fear of incontinence, avoidance of intercourse due to vaginal bulging, or negative emotional reactions to sexual activity compared with baseline.

According to Dr. Brubaker, the minimum improvement difference for PISQ-12 has not yet been determined. In addition, she said, PISQ-12 as the sole measure of sexual function may not identify all important domains of sexual function relative to UI.

Overall, the study found that women undergoing either Burch colposuspension or fascial sling with satisfactory surgical results have improved sexual function by 2 years postoperatively.


[Presentation title: Changes in Sexual Function in Women 2 Years After Sling or Burch Colposuspension: Results from the Sister Trial. Paper 9]

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