Sexual Function in Women with Stress Urinary Incontinence Treated with the SPARC Sling System

Abstract

Aim. To evaluate the impact of SPARC on female sexual function.Methods. 151 women with a mean age of60±11.90and SUI had a complete urodynamic investigation and underwent SPARC operation. 98 women completed the validated female sexual function index questionnaire (FSFI) at baseline and 94 women at follow-up. A minimum follow-up of 12 months was required for study inclusion.Results. 52/98 women were sexually active at baseline. Postoperatively only 33 patients were sexually active. The FSFI score of all 33 pre- and postoperative sexually active women increased from25.3±5.7at baseline to27.4±4.8at follow-up (P=0.1). Scores of women with reduced sexual function at baseline increased significantly in the domains desire, arousal, and lubrication as well as orgasm and satisfaction and total FSFI-score (P=0.002) postoperatively.Conclusions. Our results suggest that the SPARC-sling procedure for SUI did not negatively interfere with female sexual function.