Hindawi Publishing Corporation ISRN Obstetrics and Gynecology Volume 2013, Article ID 627671, 4 pages http://dx.doi.org/10.1155/2013/627671 Research Article An Evaluation of the Effects of the Transobturator Tape Procedure on Sexual Satisfaction in Women with Stress Urinary Incontinence Using the Libido Scoring System Raziye Narin, 1 Hakan Nazik, 1 Mehmet Ali Narin, 1 Hakan Aytan, 2 and Murat Api 3 1 Department of Obstetrics and Gynecology, Adana Numune Education and Research Hospital, 01330 Adana, Turkey 2 Department of Obstetrics and Gynecology, University of Mersin, Mersin, Turkey 3 Department of Obstetrics and Gynecology, Zeynep Kamil Education and Research Hospital, Istanbul, Turkey Correspondence should be addressed to Raziye Narin; ryencilek@yahoo.com.tr Received 1 August 2013; Accepted 18 September 2013 Academic Editors: N. A. Ginsberg and C. Iavazzo Copyright © 2013 Raziye Narin et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction and Hypothesis. Most women experience automatic urine leakage in their lifetimes. SUI is the most common type in women. Suburethral slings have become a standard surgical procedure for the treatment of stress urinary incontinence when conservative therapy failed. Te treatment of stress urinary incontinence by suburethral sling may improve body image by reducing urinary leakage and may improve sexual satisfaction. Methods. A total of 59 sexually active patients were included in the study and underwent a TOT outside-in procedure. Te LSS was applied in all patients by self-completion of questionnaires preoperatively and 6 months afer the operation. General pleasure with the operation was measured by visual analogue score (VAS). Pre- and postoperative scores were recorded and analyzed using SPSS 11.5. Results. Two parameters of the LSS, orgasm and who starts the sexual activity, increased at a statistically signifcant rate. Conclusion. Sexual satisfaction and desire have partially improved afer the TOT procedure. 1. Introduction Urinary incontinence can be described as an involuntary urine loss, which has become a social or hygienic problem. Te prevalence of urinary incontinence varies widely and increases with age [1]. Most women experience automatic urine leakage in their lifetimes. SUI is the most common type in women [2]. In this condition, increase of intra-abdominal pressure causes urine leakage during coughing, laughing, or weightlifing. SUI can be demonstrated objectively by some tests including stress test and Q-tip test. Te transobturator tape procedure was developed by Delorme to reduce the complications associated with the tension-free vaginal tape (TVT) including bladder perforation, urinary retention, and bowel injury [3]. Recently, suburethral slings have become a standard surgical procedure for the treatment of stress urinary incontinence when conservative therapy failed. Libido is a subjective issue that refers to a person’s sex drive or desire for sexual activity. Te defnition and explanation of this term has been problematic since the symptoms are vague and can be seen in other conditions too, for example, depressive disorders. Moreover, no cutof level for a normal range of libido has been agreed on [4]. Te treatment of stress urinary incontinence by a subu- rethral sling procedure may improve body image by reducing urinary leakage. Tus, a positive efect on sexual satisfac- tion could be expected. Conversely, sexual satisfaction may worsen by developing dyspareunia afer the suburethral sling procedure [5]. In this study, we aimed to evaluate the efects of the TOT procedure on female sexual satisfaction using LSS and determine the level of pleasure with the operation. 2. Materials and Methods Tis prospective observational study was performed at the Department of Gynecology of Numune Education and Research Hospital in Adana, Turkey. Te inclusion criteria for