Observational studyActa obstetricia et gynecologica Scandinavica2024
Long-term sexual function after mid-urethral slings for stress urinary incontinence in women.
Observational study in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04912830 (Tension Free Vaginal Tape Surgery - Follow up After 10 and 20 Years), which is not on this map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Tension Free Vaginal Tape Surgery - Follow up After 10 and 20 Years: Success Rate and Long-term Complications
Who cites it
10 citing papers in PubMed.
- Sexual Function After Transobturator Tape with or Without Concomitant Anterior Colporrhaphy in Women with Stress Urinary Incontinence and Cystocele.Journal of clinical medicine · 2026Article
- Midurethral Sling Surgery: Impacts on Sexual Function and Approaches to Complications.International urogynecology journal · 2026Review
- The socioeconomic burden of pelvic floor disorders.Acta obstetricia et gynecologica Scandinavica · 2026Review
- Pelvic pain and lower urinary tract symptoms; long-term comparison between women with and without mid-urethral sling insertion.Acta obstetricia et gynecologica Scandinavica · 2026Article
- A Nordic perspective on female stress urinary incontinence care: Lessons for shared clinical practice.Acta obstetricia et gynecologica Scandinavica · 2026Review
- Article
- Role of translabial ultrasound in pre- and postoperative assessment of midurethral slings for stress urinary incontinence.Abdominal radiology (New York) · 2026Review
- Strategies to improve sexual health in women with urinary incontinence: A scoping review.PloS one · 2026Article
- Author Reply.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Long-term sexual function after mid-urethral slings for stress urinary incontinence in women.Acta obstetricia et gynecologica Scandinavica · 2024Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
introductionThere has been increasing concern about potential negative impact of mid-urethral slings (MUS) on sexual life. Our aim was to study sexual activity 10-20 years after MUS surgery and changes in impact of incontinence on sexual life over time and to compare subjective cure, pain, satisfaction, and incontinence between sexually active and inactive women 10-20 years after MUS. MATERIAL AND
methodsHistorical cohort study using the Norwegian Female Incontinence Registry to identify women who underwent MUS between 2001-2006 and 2011-2012. They answered validated questionnaires about sexual activity, incontinence, pain, and satisfaction with MUS. We assessed changes in urinary incontinence during intercourse and compared symptoms and satisfaction between sexually active and inactive women. The study was registered in Clinical Trials (NCT04912830).
resultsIn total, 1210/1903 (64%) responded. Of women responding to questions about sexual activity, 63% (735/1166) were sexually active. 31.3% experienced negative impact of incontinence on sexual life preoperatively, decreasing to 5.9% at 10-20 years follow-up. A higher proportion of sexually inactive vs sexually active women had urinary incontinence (63.5% vs. 47.5%, aOR 1.60 [1.18-2.17]). In a subanalysis, only urgency and mixed urinary incontinence remained significant. A higher proportion of sexually inactive were dissatisfied with MUS (30.1% vs. 12.9%, aOR 2.53 [1.82-3.51]). Persistent pain after MUS was similar for sexually inactive and active women (4.0% vs. 3.2%, aOR 1.10 [0.55-2.19]). Furthermore, 3.4% of sexually inactive had persistent pain after MUS and stated pain as a reason for not being sexually active, whereas 1.7% of sexually active women had persistent pain after MUS and pain during intercourse.
conclusionsNegative impact of incontinence on sexual life was less prevalent at 10-20 years follow-up after sling surgery compared to preoperative assessment. A higher proportion of sexually inactive had urgency and mixed urinary incontinence and were dissatisfied with MUS. Only 3%-4% of sexually active and inactive women had persistent pain after MUS and this was not associated with sexual activity. This indicates that incontinence has a greater negative impact on sexual activity than persisting pain after MUS at long-term follow-up.
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