The effect of the distance between mesh and the urethra on sexual function in patients who underwent transobturator tape

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dc.authorscopusidFatih Şahin / 58566753500
dc.authorwosidFatih Şahin / JKM-7794-2023
dc.contributor.authorŞahin, Fatih
dc.contributor.authorDoğan, Ozan
dc.date.accessioned2025-04-18T09:44:59Z
dc.date.available2025-04-18T09:44:59Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, İSÜ Hastaneleri
dc.description.abstractObjective: To evaluate the effect of mesh-urethra distance on sexual function in continent patients who underwent transobturator tape (TOT) surgery due to isolated stress urinary incontinence (SUI). Material and Methods: Continent patients who had undergone TOT surgery for SUI were eligible. Objective treatment for SUI was defined as the absence of urine leakage during a stress test. Translabial perineal ultrasound was performed six months after surgery. The successful surgical group was split into two subgroups based on the distance from the posterior of the urethra at the bladder neck to the nearest proximal edge of the tape: <5 mm and >5 mm. In addition to these, band percentile, the descent of bladder neck and urethra length measured by perineal ultrasound, pubo-urethral distance, urethral thickness, detrusor thickness, cystocele descent, rectal descent, and uterine descent were evaluated. Preoperative and postoperative results of the standardized and internationally valid incontinence questionnaires Incontinence Questionnaire Urinary Incontinence Short Form and Female Sexual Function Index (FSFI) were compared between groups. Results: Eighty-two patients were included. The postoperative FSFI scores for the >5 mm group were significantly lower than those of the <5 mm group, including the postoperative FSFI average, all subscales except lubrication, and average change scores due to the operation (p<0.001). There was no statistically significant relationship between the percentile occupied and postoperative FSFI score (p=0.553), and the FSFI preoperative-postoperative difference was not significant (p=0.905). Conclusion: Sexual functions are more affected in patients with a mesh-urethra distance >5 mm as measured by perineal ultrasound.
dc.identifier.citationŞahin, F., & Doğan, O. (2024). The effect of the distance between mesh and the urethra on sexual function in patients who underwent transobturator tape. Journal of the Turkish German Gynecological Association, 25(3), 124.
dc.identifier.doi10.4274/jtgga.galenos.2024.2023-11-7
dc.identifier.endpage131
dc.identifier.issn13090399
dc.identifier.issue3
dc.identifier.pmid38828733
dc.identifier.scopus2-s2.0-85203196749
dc.identifier.scopusqualityQ3
dc.identifier.startpage124
dc.identifier.urihttp://dx.doi.org/10.4274/jtgga.galenos.2024.2023-11-7
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6847
dc.identifier.volume25
dc.identifier.wosWOS:001318307000002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorŞahin, Fatih
dc.language.isoen
dc.publisherGalenos publishing house
dc.relation.ispartofJournal of the Turkish German gynecology association
dc.relation.ispartofserieshttp://dx.doi.org/
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectFemale Stress Incontinence
dc.subjectSexualiy
dc.subjectTransobturator Tape
dc.subjectTransperineal Ultrasound
dc.titleThe effect of the distance between mesh and the urethra on sexual function in patients who underwent transobturator tape
dc.typeArticle

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