Sexual Function Before and After Mid-Urethral Sling Procedure for Stress Urinary Incontinence

Purpose We aimed to assess the effect of TOT procedure on sexual function and quality of life in sexually active patients. Materials and Methods Forty-one patients with SUI aged 18–70 years participated in this study during 2015–2019. Sexual function was evaluated by Female Sexual Function Index (FSFI), Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory Questionnaire (UDI-6) prior to TOT surgery and six months after surgery. Results The mean IIQ-7 and UDI-6 scores were significant lower after surgery ( P < 0.001). The mean FSFI score was 22.69 ± 5.48 prior to surgery and 29.79 ± 4.12 in the sixth month after surgery ( P < 0.001). We found significant changes in all FSFI domains except for pain. Two patients complained of new dyspareunia after surgery. There was also a direct significant correlation between education and sexual function improvement in terms of desire ( P = 0.031). Conclusion TOT can significantly enhance sexual function with low rate of complications in patients with SUI.