Sexual function following retropubic TVT and transobturator Monarc sling in women with intrinsic sphincter deficiency: a multicentre prospective study

Alison De Souza, Peter Dwyer, Anna Rosamilia, Richard Hiscock, Yik Lim, Christine Murray, Elizabeth Thomas, Christine Conway, Lore Schierlitz

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29 Citations (Scopus)


A prospective study comparing the effect of the tension-free vaginal tape (TVT) to the Monarc sling on sexual function in women with urodynamic stress incontinence (USI) and intrinsic sphincter deficiency (ISD) is presented. Eighty-seven sexually active women with USI and ISD were enrolled. Sexual function was assessed pre-operatively and at 6 and 12 months post-operatively by history, PISQ-12, UDI-6 and IIQ-7 questionnaires. A significant increase was detected in PISQ-12 score following both TVT and Monarc insertion. This score was greater in the TVT group at 6 months but not at 12 months when compared to the Monarc group. A significant decrease in UDI-6 and IIQ-7 score was detected. Specifically, coital incontinence and fear of leakage were reduced in both groups, and no change in dyspareunia or orgasm intensity was found. Sexual function improves 6 months after TVT or Monarc sling, and this benefit is maintained at 12 months.
Original languageEnglish
Pages (from-to)153 - 158
Number of pages6
JournalInternational Urogynecology Journal
Issue number2
Publication statusPublished - 2012

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