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Incontinence-related quality of life and sexual function following the tension-free vaginal tape versus the “inside–out” tension-free vaginal tape obturator

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Abstract

The objective of this cohort study was to compare morbidity, quality of life, and sexual function in stress-incontinent women treated with tension-free vaginal tape (TVT) versus tension-free vaginal tape obturator (TVT-O) in a group of 329. Preoperative scores of the Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) were compared to those from a mailed, postoperative questionnaire. The Pelvic Organ Prolapse/Incontinence Sexual Questionnaire (PISQ-12) and three additional questions were also included in the mailing. Of the initial 329 patients, 239 (73%) completed the questionnaire with a mean follow-up of 14.7 months. Complications, return to normal voiding, and operative time were less in the TVT-O group. Postoperative PISQ-12 scores and improvements in the UDI-6 and IIQ-7 were comparable between groups. The TVT-O procedure appears to be as effective in improving incontinence-related quality of life as the TVT. No differences in sexual function were demonstrated between groups.

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Author notes

  1. Miles Murphy

    Present address: , 1010 Horsham Road, , Suite 205, North Wales, PA, 19454, USA

Authors and Affiliations

  1. Section of Urogynecology, Department of Obstetrics and Gynecology, Abington Memorial Hospital, 1200 Old York Road, Abington, PA, 19001, USA

    Miles Murphy, Eduardo Mercurio & Vincent R. Lucente

  2. Section of Urogynecology, Department of Obstetrics and Gynecology, St. Luke’s Hospital and Health Network, 1736 Hamilton Street, Allentown, PA, 18104, USA

    Miles Murphy, Heather van Raalte, Robin Haff, Barbara Wiseman & Vincent R. Lucente

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  1. Miles Murphy
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  2. Heather van Raalte
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  3. Eduardo Mercurio
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Correspondence to Miles Murphy.

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Murphy, M., van Raalte, H., Mercurio, E. et al. Incontinence-related quality of life and sexual function following the tension-free vaginal tape versus the “inside–out” tension-free vaginal tape obturator. Int Urogynecol J 19, 481–487 (2008). https://doi.org/10.1007/s00192-007-0482-x

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  • DOI: https://doi.org/10.1007/s00192-007-0482-x

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