The journal of sexual medicine · 2026
Route matters: comparing vaginal (TOT) and laparoscopic (MERT-Burch) approaches in stress urinary incontinence and postoperative sexual function recovery.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Elmaağaç Burak, Başaran Ezgi, Özercan Ali Yasin, Gölbaşı Abdullah, Tozan Salim, Biçer Hüseyin, Karadağ Mert Ali
Аннотация
BACKGROUND: Stress urinary incontinence (SUI) negatively affects women's sexual well-being and quality of life through anxiety about urine leakage during intercourse.
AIM: To compare the effects of vaginal (transobturator tape, TOT) and laparoscopic (Multiple Endoclip Retraction Technique-Burch, MERT-Burch) routes on postoperative sexual function, quality of life, and time to comfortable coitus.
METHODS: This retrospective study included 114 sexually active women who underwent TOT (n = 55) or laparoscopic MERT-Burch colposuspension (n = 59) between January 1, 2021, and August 5, 2025. Pre- and 6-month postoperative data were collected using validated questionnaires: International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Urogenital Distress Inventory-6 (UDI-6), Incontinence Quality of Life Questionnaire (I-QOL), Female Sexual Function Index (FSFI), and International Index of Erectile Function-5. Complications were graded by the Clavien-Dindo system.
OUTCOMES: Primary outcomes were postoperative improvement in sexual function and the timing of first and comfortable coitus.
RESULTS: The mean age and body mass index were similar between groups. The MERT-Burch group resumed sexual activity significantly earlier (first coitus: 7 vs 35 days; comfortable coitus: 15 vs 54 days, P < .001). Both procedures improved ICIQ-SF, UDI-6, I-QOL, and FSFI scores (P < .001). Persistent dyspareunia occurred in 14.5% of TOT patients but in none after MERT-Burch. No major complications were recorded.
CLINICAL IMPLICATIONS: Route of surgery affects postoperative sexual comfort and the time to first comfortable coitus, favoring the non-vaginal, mesh-free laparoscopic approach.
STRENGTHS & LIMITATIONS: Use of validated scales and the novel "first comfortable coitus" parameter are strengths; retrospective design and limited follow-up are limitations.
CONCLUSION: Both techniques effectively restore continence, but the laparoscopic MERT-Burch provides earlier and more comfortable sexual recovery, establishing "first comfortable coitus" as a practical indicator of postoperative sexual healing.
AIM: To compare the effects of vaginal (transobturator tape, TOT) and laparoscopic (Multiple Endoclip Retraction Technique-Burch, MERT-Burch) routes on postoperative sexual function, quality of life, and time to comfortable coitus.
METHODS: This retrospective study included 114 sexually active women who underwent TOT (n = 55) or laparoscopic MERT-Burch colposuspension (n = 59) between January 1, 2021, and August 5, 2025. Pre- and 6-month postoperative data were collected using validated questionnaires: International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Urogenital Distress Inventory-6 (UDI-6), Incontinence Quality of Life Questionnaire (I-QOL), Female Sexual Function Index (FSFI), and International Index of Erectile Function-5. Complications were graded by the Clavien-Dindo system.
OUTCOMES: Primary outcomes were postoperative improvement in sexual function and the timing of first and comfortable coitus.
RESULTS: The mean age and body mass index were similar between groups. The MERT-Burch group resumed sexual activity significantly earlier (first coitus: 7 vs 35 days; comfortable coitus: 15 vs 54 days, P < .001). Both procedures improved ICIQ-SF, UDI-6, I-QOL, and FSFI scores (P < .001). Persistent dyspareunia occurred in 14.5% of TOT patients but in none after MERT-Burch. No major complications were recorded.
CLINICAL IMPLICATIONS: Route of surgery affects postoperative sexual comfort and the time to first comfortable coitus, favoring the non-vaginal, mesh-free laparoscopic approach.
STRENGTHS & LIMITATIONS: Use of validated scales and the novel "first comfortable coitus" parameter are strengths; retrospective design and limited follow-up are limitations.
CONCLUSION: Both techniques effectively restore continence, but the laparoscopic MERT-Burch provides earlier and more comfortable sexual recovery, establishing "first comfortable coitus" as a practical indicator of postoperative sexual healing.