Electronic Resource
Female Sexual Function following Sling Surgery: A Prospective Parallel Cohort, Multi-Center Study of the SolyxTM Single Incision Sling System Vs. the ObtryxTM II Sling System (FDA- Mandated 522 Results at 36 Months).
| العنوان: | Female Sexual Function following Sling Surgery: A Prospective Parallel Cohort, Multi-Center Study of the SolyxTM Single Incision Sling System Vs. the ObtryxTM II Sling System (FDA- Mandated 522 Results at 36 Months). |
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| المؤلفون: | White A.B., Anger J.T., Eilber K., Kahn B.S., Gonzalez R.R., Rosamilia A. |
| بيانات النشر: | NLM (Medline) United States 2021-05-13 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | PURPOSE: Limited data exist regarding sexual function after single incision sling surgery. We compared sexual function 36 months postoperatively between patients undergoing single incision and transobturatorsling for treatment of stress urinary incontinence. MATERIALS AND METHODS: Assessment of sexual function was a planned secondary objective of this prospective, multi-center study that enrolled women to Solyx single incision sling or Obtryx II transobturator sling. Primary study aim was to compare efficacy and safety usingnoninferiority design at 36 months. Patient-reported outcomes of sexual function were assessed at baseline and 6,12,18,24, and 36 months using Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Changes in sexual function were analyzed within and between groups. Outcomes for patients requiring surgical retreatment were determined. RESULT(S): Baseline characteristics were balanced using propensity score stratification (N=141 SIS, N=140 TMUS). Groups were similar in age, body mass index, and concomitant surgery performed (table 1). Average length of follow-up was 30 months. Baseline sexual activity was similar (123/141 SIS, 114/140 TMUS, p=0.18). Severity of urinary incontinence did not correlate with baseline sexual activity. Mean PISQ-12 scores increased significantly from baseline to 36 months for both groups, indicating better sexual function at each visit. There were no significant differences in PISQ-12 scores between groups except at 36 months, where the difference was small (-2.5, 95% CI [-4.7, 0.2], table 2). Among patients undergoing surgical retreatment (9/281, 3%), improvement in sexual function was maintained. De novo dyspareunia was rare following both treatments (SIS 1/141, TMUS 0/140, p=1.00). CONCLUSION(S): Patients have significant improvement in sexual function after single incision sling and transobturator sling. De novo sexual pain is low after sling surgery. |
| مصطلحات الفهرس: | Article |
| URL: | The Journal of Urology LibKey Link |
| الاتاحة: | Open access content. Open access content |
| Other Numbers: | AUSHL oai:repository.monashhealth.org:1/43599 The Journal of urology. (pp 101097JU0000000000001830), 2021. Date of Publication: 06 May 2021. https://repository.monashhealth.org/monashhealthjspui/handle/1/43599 33955778 [http://www.ncbi.nlm.nih.gov/pubmed/?term=33955778] (White) Department of Women's Health, University of Texas at Austin, Dell Medical School, Austin, TX, United States (Anger, Eilber) Department of Surgery, Division of Urology, Cedars-Sinai Health System, Los Angeles, CA, Mexico (Kahn) Department of Obstetrics and Gynecology, Scripps Clinic, San Diego, CA, Mexico (Gonzalez) Department of Urology, Houston Methodist Hospital, Houston, TX (Rosamilia) Department of Women's Health, Monash Medical Centre and Cabrini Hospital, Melbourne, Australia (White) Department of Women's Health, University of Texas at Austin, Dell Medical School, Austin, TX, United States (Anger, Eilber) Department of Surgery, Division of Urology, Cedars-Sinai Health System, Los Angeles, CA, Mexico (Kahn) Department of Obstetrics and Gynecology, Scripps Clinic, San Diego, CA, Mexico (Gonzalez) Department of Urology, Houston Methodist Hospital, Houston, TX (Rosamilia) Department of Women's Health, Monash Medical Centre and Cabrini Hospital, Melbourne, Australia 1305134900 |
| المصدر المساهم: | MONASH HEALTH LIBRS From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1305134900 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |