Demirhan Örsan DEMİR, Berat Cem ÖZGÜR, Arif DEMİRBAS, Veli Mert YAZAR, Burak AKSELİM, Cem Nedim YÜCETÜRK, Turgay KAÇAN

Transobturator Tape (TOT) operasyonunun kadınların cinsel ve psikolojik fonksiyonları üzerine etkisi: Çok merkezli prospektif çalışma / The effect of Transobturator Tape (TOT) on female sexual and psychological functions: A multi centered prospective study

ÖZET AMAÇ: Stres üriner inkontinans (SÜİ) kadınlarda sık görülen bir sağlık sorunudur ve transobturator bant (TOT) cerrahisi bu patolojiyi düzeltmek için en sık kullanılan yöntemlerden biridir. Bu çalışmada TOT ameliyatı sonrası kontinans oranlarının yanı sıra stres üriner inkontinansın neden olduğu sosyal, fiziksel, cinsel ve psikolojik sorunların iyileşme oranlarının belirlenmesi amaçlanmıştır. GEREÇ VE YÖNTEM: Cinsel yönden aktif toplam 72 kadın, yaşam kalitesine ilişkin kendi algılarına göre üç farklı anketle değerlendirildi; Şubat 2017'den Ocak 2021'e kadar. Ameliyat öncesi ve ameliyat sonrası on ikinci ayda Beck Depresyon Envanteri (BDI), Kadın Cinsel İşlev İndeksi (FSFI) ve Kısa Form-36 Sağlık Anketi (SF-36) anketlerini doldurdular. BULGULAR: 66 (%91.66) hastada inkontinans tedavisi sağlandı. On ikinci ay FSFI puanlarında istatistiksel olarak anlamlı ortalama 6.47 puan artış tespit edildi. Ayrıca SF-36 anketinin ameliyat öncesi ve ameliyat sonrası 12 aylık değerleri arasında yedi parametresi önemli ölçüde değişirken, 12 aylık BDI skorlarında ortalama 8.38 puanlık istatistiksel olarak anlamlı bir azalma bulundu. SONUÇ: TOT işlemi kontinansı sağlamanın yanı sıra ameliyat öncesi inkontinansa bağlı olabilecek sosyal, fiziksel, cinsel ve psikolojik sorunlara da olumlu katkı sağlamaktadır.

Anahtar Kelimeler:

transobturator tape, hayat kalitesi, seksüel fonksiyonlar, stres üriner inkontinans

The effect of Transobturator Tape (TOT) on female sexual and psychological functions: A multi centered prospective study

AIM: The aim of the present study is to identify the recovery rate after Transobturator Tape (TOT) surgery of social, physical, sexual and psychological problems caused by SUI in females.. METHODS: A total of 36 sexually active women were evaluated according to their self-perception of the quality of their life. They answered the following questionnaires; the Beck Depression Inventory (BDI), the Female Sexual Function Index (FSFI) and the Short Form-36 Health Survey (SF-36). RESULTS: A statistically significant increase of mean 6.47 points was determined in the 3rd month FSFI scores. Also seven parameters of SF-36 questionnaire between the preoperative and 3-month postoperative values were significantly changed. (p<0.001) while a statistically significant decrease of mean 8.38 points in the 3-month BDI scores (p<0.001) was found CONCLUSION: In addition to providing continence, TOT procedure also positively contributes to the social, physical, sexual and psychological problems.

Keywords:

quality of life, sexual function, stres urinary incontinence, transobturator tape,

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