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dc.contributor.authorAtılgan, Adeviye Elçi
dc.contributor.authorÇiler Eren, Elif
dc.date.accessioned2021-01-27T10:23:17Z
dc.date.available2021-01-27T10:23:17Z
dc.date.issued2021en_US
dc.identifier.citationAtılgan, A. E. ve Çiler Eren, E. (2021). The effect of tension-free vaginal tape on coital incontinence concomitant with stress urinary incontinence. LUTS-Lower Urinary Tract Symptoms, 13(1), 118-122. https://dx.doi.org/10.1111/luts.12342en_US
dc.identifier.issn1757-5664
dc.identifier.issn1757-5672
dc.identifier.urihttps://dx.doi.org/10.1111/luts.12342
dc.identifier.urihttps://hdl.handle.net/20.500.12511/6413
dc.description.abstractObjectives: The aim of this study was to evaluate the impact of tension-free vaginal tape (TVT) on coital incontinence concomitant with stress urinary incontinence.Methods: TVT was performed on sexually active women diagnosed with urodynamic stress incontinence (USI) who also experienced coital incontinence with penetration and/or orgasm. The patient-reported success rate was assessed by the Patient's Global Impression of Improvement (PGI-I) scale. The sexual function of the women was evaluated by the fulfilled Female Sexual Function Index (FSFI) before and after the operations.Results: Eighty-two women underwent the TVT procedure with epidural anesthesia and 80 of them (97%) answered pre-operative and post-operative FSFI questionnaires. In the pre-operative clinical assessment, 48 women (58%) stated they experienced urinary incontinence during penetration, 13 (15%) during orgasm, and 21 (25%) identified it for both. The patient-reported success rate was 86% (71 of 82 patients) according to the PG1-1 results: 44 of 48 women (91%) during penetration, nine of 13 (69%) during orgasm, and 18 of 21 (85%) for both. The FSFI scores for sexual desire, lubrication, and sexual arousal domains increased in 57 (71%), 49 (61%), and 44 (55%) patients, respectively, whereas they remained unchanged in 23 (28%), 31 (38%), and 36 (45%) patients. For the orgasm, satisfaction, and pain domains, the results were similar. The mean total FSFI score before the operations was 23.63 +/- 6.84 and it significantly increased after surgery to 29.47 +/- 4.28 (P < .05).Conclusions: The TVT procedure may offer treatment for coital incontinence accompanying USI. It also provides significant improvement in the sexual lives of women.en_US
dc.language.isoengen_US
dc.publisherWileyen_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectCoital Incontinenceen_US
dc.subjectStress Urinary Incontinenceen_US
dc.subjectTension-Free Vaginal Tapeen_US
dc.subjectTVTen_US
dc.subjectUrodynamicsen_US
dc.titleThe effect of tension-free vaginal tape on coital incontinence concomitant with stress urinary incontinenceen_US
dc.typearticleen_US
dc.relation.ispartofLUTS-Lower Urinary Tract Symptomsen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalıen_US
dc.authorid0000-0003-4833-8978en_US
dc.identifier.volume13en_US
dc.identifier.issue1en_US
dc.identifier.startpage118en_US
dc.identifier.endpage122en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1111/luts.12342en_US
dc.identifier.wosqualityQ4en_US
dc.identifier.scopusqualityQ2en_US


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