Sexual response in patients treated with sacral neuromodulation for lower urinary tract symptoms or fecal incontinence.

A.C. van Voskuilen, D.J. Oerlemans, N. Gielen, S.M. Koch, E.H.J. Weil, J.J. van Lankveld, U. van den Hombergh, C.G.M.I. Baeten, P.E. van Kerrenbroeck

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7 Citations (Scopus)

Abstract

Objectives: To determine whether sacral neuromodulation (SNM) for urinary symptoms or fecal incontinence gives improvement of female sexual function and whether improvement is due to physiological or psychological factors. Methods: Between 2002 and 2008, 8 patients had an array of questionnaires before and after SNM implantation. The questionnaires were: the Questionnaire for Screening for Sexual Dysfunctions, the Golombok Rust Inventory of Sexual Satisfaction, the Symptom Checklist-90, the Maudsley Marital Questionnaire and the McGill-Mah Orgasm Questionnaire. Three of these 8 patients underwent vaginal plethysmography before and after implantation. Results: No statistically significant changes were found, although there seems to be a trend toward improvement in orgasm scores. In plethysmography all 3 patients showed increased vaginal pulse amplitude with the stimulator turned on with both erotic and non-erotic stimuli. Conclusions: This study does not show a clear effect of SNM on sexual function, although there seems to be an improvement in orgasm scores. The lack of response on psychological questionnaires and the increase in vaginal pulse amplitude after SNM implantation indicate that there might be a physiological response.
Original languageEnglish
Pages (from-to)423-430
Number of pages8
JournalUrologia Internationalis
Volume88
Issue number4
DOIs
Publication statusPublished - 1 Jan 2012

Keywords

  • Sacral neuromodulation
  • Urinary symptoms
  • Fecal incontinence
  • Females
  • Sexual function
  • NERVE ROOT NEUROMODULATION
  • GOLOMBOK-RUST INVENTORY
  • VOIDING DYSFUNCTION
  • CONSTRUCT-VALIDITY
  • SATISFACTION GRISS
  • STIMULATION
  • AROUSAL
  • IMPLANTATION
  • EXPERIENCE
  • THERAPY

Cite this

van Voskuilen, A. C., Oerlemans, D. J., Gielen, N., Koch, S. M., Weil, E. H. J., van Lankveld, J. J., van den Hombergh, U., Baeten, C. G. M. I., & van Kerrenbroeck, P. E. (2012). Sexual response in patients treated with sacral neuromodulation for lower urinary tract symptoms or fecal incontinence. Urologia Internationalis, 88(4), 423-430. https://doi.org/10.1159/000336911