Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
Transobturator Bant Prosedürünün Kadın Cinsel Fonksiyonu Üzerine Olumlu Etkisi: Analitik Araştırma
Positive Effect of Transobturator Tape Procedure on Female Sexual Function: Analytical Research
Şefik GÖKÇEa, Dilşad HERKİLOĞLUa, Özkan ONUKb
aYeni Yüzyıl Üniversitesi Gaziosmanpaşa Hastanesi, Kadın Hastalıkları ve Doğum ABD, İstanbul, Türkiye
bMedical Park Bahçelievler Hastanesi, Üroloji Bölümü, İstanbul, Türkiye
J Reconstr Urol. 2022;12(1):10-5
doi: 10.5336/urology.2021-87694
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, Kadın Cinsel İşlev İndeksi'ni kullanarak transobturator bant prosedürü öncesi ve sonrası eşlerin cinsel işlevlerini değerlendirmektir. Gereç ve Yöntemler: Mart 2017- Temmuz 2020 tarihleri arasında stres üriner inkontinans şikâyeti ile başvuran 78 cinsel aktif kadına gerilimsiz transobturator bant prosedürü uygulandı. Çalışmaya dâhil edilen tüm denekler cinsel açıdan aktifti ve ameliyattan önce ve 6 aylık takipte Kadın Cinsel İşlev İndeksi'ni doldurmaları istendi. On dokuz maddelik Kadın Cinsel İşlev İndeksi ölçekleri; arzu, uyarılma, lubrikasyon, orgazm, memnuniyet ve ağrı dâhil olmak üzere cinsel işlevi ortaya çıkardı. Ameliyat sonrası komplikasyonlar da kaydedildi. Bulgular: Kadınların ortalama yaşı 50,4±5,7'dir. Preoperatif medyan toplam Kadın Cinsel İşlev İndeksi skoru ve postoperatif medyan toplam Kadın Cinsel İşlev İndeksi skoru benzer bulundu (21,1 vs. 22,5; p=0,100). Preop ve postop medyan uyarılma, lubrikasyon ve ağrı skorları anlamlı bir fark göstermemekle birlikte (her biri için p>0,05), ameliyat sonrası medyan tatmin (3,6 vs. 2,4) ve orgazm skorları (4,0 vs. 3,6) ameliyat öncesi puanlara göre anlamlı yüksek bulundu (her ikisi için p<0,001). Medyan arzu skoru ameliyat sonrasında anlamlı düşük bulundu (4,2 vs. 3,6; p=0,006). Sonuç: Transobturator bant prosedürü cinsel fonksiyon üzerine, özellikle de tatmin ve orgazm skorları üzerine olumlu etkisi görülmekte ve hastanın üriner inkontinansının da düzeltilmesi ile yaşam kalitesinde iyileşme sağlamaktadır.

Anahtar Kelimeler: Transobturator bant; Kadın Cinsel İşlev İndeksi; kadın cinsel işlevi
ABSTRACT
 Objective: The aim of this study was to evaluate the sexual functions of partners before and after the transobturator tape procedure using the Female Sexual Function Index. Material and Methods Tension-free transobturator tape procedure was performed on 78 sexually active women who presented with the complaint of stress urinary incontinence between March 2017-July 2020. All subjects included in the study were sexually active and were asked to complete the Female Sexual Function Index before surgery and at 6- month follow-up. The 19-item Female Sexual Function Index questionnaires revealed sexual function, including desire, arousal, lubrication, orgasm, satisfaction, and pain. Postoperative complications were also recorded. Results: The mean age of women was 50.4±5.7. Preoperative median total Female Sexual Function Index score and postoperative median total Female Sexual Function Index score were similar (21.1 vs. 22.5; p=0.100). Although the pre-op and post-op median arousal, lubrication and pain scores did not show a significant difference (p>0.05 for all), the post-operative median satisfaction (3.6 vs. 2.4) and orgasm scores (4.0 vs. 3.6) were significantly higher than the preoperative scores (p<0.001 for both). The median desire score was significantly lower postoperatively (4.2 vs. 3.6; p=0.006). Conclusion: The transobturator tape procedure has a positive effect on sexual function, especially on satisfaction and orgasm scores, and improves the quality of life by correcting the patient's urinary incontinence.

Keywords: Transobturator tape; Female Sexual Function Index; female sexual function
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