Chirurgia mini-invasiva dell'incontinenza urinaria femminile mediante tecnica transotturatoria e sessualità

Aim: The objective of our study was to evaluate the female sexual dysfunction and urinary continence before and after minivasive pelvic floor surgery. We know that women suffering from urinary incontinence and genital prolapse could suffer from dyspareunia, reduced sexual desire and lose of urine during sexual intercourse. Mininvasive pelvic floor surgery performed was TOT.Methods: Mininvasive pelvic floor surgery for vaginal prolapse and urinary incontinence are: posterior intravaginally slingoplasty (IVS); for the SUI: Tension-Free Vaginal Tape (TVT), SPARC, Trans Opturatory Tape (TOT). All women evaluated were menopausal. We evaluated 29 women undergoing TOT. Prolapse was evaluated clinically according to the Baden e Walker classification. All women underwent urodynamics before surgery. All women were pluriparous with 56,32 ± 9,24 years. All patients were surveyed with a questionnaire before, 6 months after surgery and every year for 3 years.Results: all patients were sexually active before the onset of urogenital problem, 90% have judged intercourse improved after TOT, with pain reduction on deep penetration; only 10% reported reduced libido and 100% improved urinary synthoms.Conclusions: most women undergoing mininvasive surgery improved sexual function and urinary incontinence this is probably due to the care of the urogynecological problems.