Sexual Function before and after Mid-Urethral Sling procedur
Transobturator tape procedure (TOT) improves sexual function in patients with stress urinary incontinence, states a study published in The Journal of Obstetrics and Gynecology of India.

Researchers aimed to assess the effect of the TOT procedure on sexual function and quality of life in sexually active patients.

Forty-one patients with SUI aged 18–70 years participated in this study. 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.

- The mean IIQ-7 and UDI-6 scores were significantly lower after surgery.

- The mean FSFI score was 22.69?±?5.48 prior to surgery and 29.79?±?4.12 in the sixth month after surgery.

- They 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.

To conclude, TOT can significantly enhance sexual function with a low rate of complications in patients with SUI.