Sexual Fonction and Discomfort in Women After Midurethral Sling Surgery, Using PPSSQ

University Hospital, Grenoble200 enrolled

Overview

Evaluation of the sexual quality of life of women who had a sub-urethral sling several years ago, using a recently validated questionnaire: the PPSSQ (Pelvi-Perineal Surgery Sexuality Questionnaire). This questionnaire is specifically oriented for women who have undergone surgery for stress urinary incontinence or prolapse. It contains questions specific to post-surgical issues that are not present in other sexual quality of life questionnaires. The questionnaire will also be administered to a group of control women who have not had suburethral sling surgery in order to compare their responses to those of women who have had surgery. The hypothesis is that the placement of a suburethral sling for stress urinary incontinence increases the quality of sexual life of the women.

Study Type

OBSERVATIONAL

Enrollment

200

Conditions

Stress Urinary Incontinence

Interventions

Midurethral sling surgeryPROCEDURE

This treatment consists of the placement of a sub-urethral sling, usually made of polypropylene, in order to support the urethra during efforts and thus to avoid leaks linked to its hyper mobility. This is a frequent and rapid surgery, which is performed on an outpatient basis. The sling is placed under the patient's urethra with the help of an awl.

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 90 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: Patient group * Women who have received a suburethral sling at CHUGA in the gynecology or urology departments between January 2015 and June 2020. * Women who agreed to complete the PPSSQ Healthy volunteers group * Adult women matched on age and menopausal status to the patient group * Women who have never undergone surgery for stress urinary incontinence by placing a sub-urethral tape. * Women who agreed to complete the PPSSQ Exclusion Criteria: Patient group * Tape removal. * Death since surgery. * Factors that make it impossible to understand the questionnaires: neurological or psychiatric pathology that limits the understanding of the questions, lack of mastery of the French language, illiteracy. * Absence of perineal sensation. * Persons referred to in articles L1121-5 to L1121-8 of the CSP. Healthy volunteers group * Factors that make it impossible to understand the questionnaires: neurological or psychiatric pathology that limits the understanding of the questions, lack of mastery of the French language, illiteracy. * Absence of perineal sensation. * Persons referred to in articles L1121-5 to L1121-8 of the CSP.

Outcomes

Primary Outcomes

Evaluate the sexual discomfort in the medium term in patients who have undergone surgery for stress urinary incontinence by placing a suburethral sling.

The primary endpoint of the research is the comparison of medians of the PPSSQ "discomfort and pain" score between women who underwent suburethral sling surgery and healthy female volunteers of the same age and menopausal status.