{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T22:51:45Z","timestamp":1777071105818,"version":"3.51.4"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2016,3,1]],"date-time":"2016-03-01T00:00:00Z","timestamp":1456790400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2016,3,1]],"date-time":"2016-03-01T00:00:00Z","timestamp":1456790400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,3,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Previous studies have reported changes in the sensory functioning of the vagina in women with pelvic floor disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate vaginal and clitoral sensation before and after surgery with trans-obturator tape (TVT-O, Ethicon Johnson &amp; Johnson).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Quantitative sensory thresholds for warm, cold, and vibratory sensations were measured at the vagina and clitoris 1 day before and 12 \u00b1 4 months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Differences in thresholds to warm, cold, and vibratory sensations at a predetermined anatomic area of the genital region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty-two women were admitted for midurethral sling surgery, and four were lost to follow-up. For the remaining 18 (mean age = 52 years, range = 37\u201365), we found a significant sensory decrease at the clitoral region to cold, warm, and vibratory stimuli after surgery. In contrast, in the anterior vaginal wall, there was a significant decrease only to warm stimuli after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TVT-O can cause sensory loss in the clitoral and anterior vaginal wall region that can be measured and quantified. The effect of such sensory loss on sexual function and quality of sexual life needs further investigation.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2016.01.006","type":"journal-article","created":{"date-parts":[[2016,3,1]],"date-time":"2016-03-01T09:17:53Z","timestamp":1456823873000},"page":"389-392","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["Effect of Midurethral Sling Surgery on Vaginal Sensation"],"prefix":"10.1093","volume":"13","author":[{"given":"Lior","family":"Lowenstein","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , Haifa, , Israel"},{"name":"Rambam Medical Center, Haifa , Haifa, , Israel"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine , Haifa, , Israel"},{"name":"Technion-Israel Institute of Technology , Haifa, , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"Mustafa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Haifa, , Israel"},{"name":"Rambam Medical Center, Haifa , Haifa, , Israel"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine , Haifa, , Israel"},{"name":"Technion-Israel Institute of Technology , Haifa, , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irena","family":"Gartman","sequence":"additional","affiliation":[{"name":"Neurourology Division , Haifa, , Israel"},{"name":"Department of Urology , Haifa, , Israel"},{"name":"Rambam Medical Center, Haifa , Haifa, , Israel"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine , Haifa, , Israel"},{"name":"Technion-Israel Institute of Technology , Haifa, , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilan","family":"Gruenwald","sequence":"additional","affiliation":[{"name":"Neurourology Division , Haifa, , Israel"},{"name":"Department of Urology , Haifa, , Israel"},{"name":"Rambam Medical Center, Haifa , Haifa, , Israel"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine , Haifa, , Israel"},{"name":"Technion-Israel Institute of Technology , Haifa, , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2016,3,1]]},"reference":[{"key":"2023041406263334100_","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/S0302-2838(02)00401-3","article-title":"A systematic review of the literature on the prevalence of sexual impairment in women with urinary incontinence and the prevalence of urinary leakage during sexual activity","volume":"42","author":"Shaw","year":"2002","journal-title":"Eur Urol"},{"key":"2023041406263334100_","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/j.eururo.2003.11.023","article-title":"Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study","volume":"45","author":"Salonia","year":"2004","journal-title":"Eur Urol"},{"key":"2023041406263334100_","doi-asserted-by":"crossref","first-page":"2954","DOI":"10.1111\/j.1743-6109.2009.01533.x","article-title":"Topographic relation of mid-urethral sling for stress incontinence to critical female genital structures","volume":"6","author":"Lowenstein","year":"2009","journal-title":"J Sex Med"},{"key":"2023041406263334100_","doi-asserted-by":"crossref","DOI":"10.1016\/j.juro.2015.02.2439","volume-title":"Sub-urethral sling surgery for stress incontinence may result in orgasmic dysfunction through direct injury to anterior vaginal wall, peri-urethral prostatic tissue","author":"Szell","year":"2015"},{"key":"2023041406263334100_","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1097\/SPV.0b013e31827268fa","article-title":"Validation of Hebrew versions of the Pelvic Floor Distress Inventory, Pelvic Organ Prolapse\/Urinary Incontinence Sexual Function Questionnaire, and the Urgency, Severity and Impact Questionnaire","volume":"18","author":"Lowenstein","year":"2012","journal-title":"Female Pelvic Med Reconstr Surg"},{"key":"2023041406263334100_","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1136\/jnnp.39.11.1071","article-title":"Method for quantitative estimation of thermal thresholds in patients","volume":"39","author":"Fruhstorfer","year":"1976","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2023041406263334100_","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.ejogrb.2004.09.004","article-title":"Does hysterectomy affect genital sensation?","volume":"119","author":"Lowenstein","year":"2005","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2023041406263334100_","doi-asserted-by":"crossref","first-page":"1566","DOI":"10.1111\/j.1743-6109.2012.02711.x","article-title":"The somatic and autonomic innervation of the clitoris; 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