{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:10:28Z","timestamp":1787771428874,"version":"build-2784847793"},"reference-count":34,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T00:00:00Z","timestamp":1757203200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Involuntary urinary leakage due to stress urinary incontinence in women represents a widespread health condition that reduces quality of life. Background: Treatment with tension-free vaginal tape (TVT) remains the most used procedure, although its impact on quality of life, specifically regarding sexual function effects, has not been thoroughly investigated. The aim of our study is to achieve a broader understanding of the full range of outcomes after surgery, emotional well-being, and sexual function. Materials and Methods: The present prospective cohort study was conducted between 15 July 2023 and 15 June 2024 in the Emergency County Clinical Hospital Targu Mures, Department of Obstetrics and Gynecology. This is an investigation of TVT surgery and its impact on urinary incontinence, conducted by evaluating bladder dysfunction and sexual function before and after surgical intervention, as well as considering physical and psychological outcomes using specific questionnaires. Results: There was a 91.7% objective cure rate for incontinence, while urinary symptoms, sexual function, and emotional health significantly improved, urine leakage associated with strong urgency (p = 0.0002), urine leakage associated with coughing, sneezing, or laughing (p \u2264 0.0001), and patient sexual activity and emotional health also improved after surgery (p \u2264 0.0001). Furthermore, colorectal symptoms improved. Conclusions: This study emphasizes that for the best recovery of sexual and emotional health post-surgery, complete symptom removal is a requirement. Additionally, the significance of combined questionnaires in assessing treatment efficacy is highlighted. A larger sample size of patients and a longer follow-up are required before recommending this procedure as a standard treatment.<\/jats:p>","DOI":"10.3390\/reports8030173","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T08:06:32Z","timestamp":1757318792000},"page":"173","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Changes in Sexual Function and Quality of Life After TVT Surgery in Women with Stress Urinary Incontinence: A Prospective Cohort Study"],"prefix":"10.3390","volume":"8","author":[{"given":"Tamas","family":"Szabo","sequence":"first","affiliation":[{"name":"Doctoral School, University of Medicine, Pharmacy, Sciences and Technology \u201cGeorge Emil Palade\u201d, 540142 Targu Mures, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1596-6353","authenticated-orcid":false,"given":"Melinda Ildiko","family":"Mitranovici","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Emergency County Hospital Hunedoara, 331057 Hunedoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janos","family":"Turos","sequence":"additional","affiliation":[{"name":"Doctoral School, University of Medicine, Pharmacy, Sciences and Technology \u201cGeorge Emil Palade\u201d, 540142 Targu Mures, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilda","family":"Denes","sequence":"additional","affiliation":[{"name":"Doctoral School, University of Medicine, Pharmacy, Sciences and Technology \u201cGeorge Emil Palade\u201d, 540142 Targu Mures, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raluca","family":"Moraru","sequence":"additional","affiliation":[{"name":"Department of Anatomy, University of Medicine, Pharmacy, Sciences and Technology \u201cGeorge Emil Palade\u201d, 540142 Targu Mures, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucian","family":"Puscasiu","sequence":"additional","affiliation":[{"name":"Doctoral School, University of Medicine, Pharmacy, Sciences and Technology \u201cGeorge Emil Palade\u201d, 540142 Targu Mures, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e42018","DOI":"10.1016\/j.heliyon.2025.e42018","article-title":"Prevalence and impact of pelvic floor dysfunctions on quality of life in women 5\u201310 years after their first vaginal or caesarian delivery","volume":"11","author":"Esteban","year":"2025","journal-title":"Heliyon"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"qfae024","DOI":"10.1093\/sexmed\/qfae024","article-title":"Pelvic floor disorders and impact on sexual function: A cross-sectional study among non\u2013sexually active and sexually active women","volume":"12","author":"Stafne","year":"2024","journal-title":"Sex. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.ejogrb.2021.11.424","article-title":"Impact of urinary incontinence on quality of life in female CrossFit practitioners: A cross-sectional study","volume":"268","author":"Pisani","year":"2022","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Horosz, E., Zwierzchowska, A., Pomian, A., Majkusiak, W., Tomasik, P., and Barcz, E. (2020). Impact of midurethral sling implantation on sexual function in women with stress urinary incontinence. J. Clin. Med., 9.","DOI":"10.3390\/jcm9051538"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.ejogrb.2013.03.013","article-title":"Changes in sexual function and quality of life after single-incision mid-urethral sling for treatment of female stress urinary incontinence","volume":"168","author":"Naumann","year":"2013","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2977","DOI":"10.1007\/s00192-023-05626-x","article-title":"Quality of life and sexual function after tension-free vaginal tape and polyacrylamide hydrogel injection for primary stress urinary incontinence: 3-year follow-up from a randomized clinical trial","volume":"34","author":"Isaksson","year":"2023","journal-title":"Int. Urogynecology J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.tjog.2022.07.011","article-title":"Evaluation of the efficacy and safety of single incision sling vs TVT-O in obese patients with stress urinary incontinence: Quality of life and sexual function analysis","volume":"62","author":"Schiavi","year":"2023","journal-title":"Taiwan. J. Obstet. Gynecol."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Zalewski, M., Ko\u0142ody\u0144ska, G., Zalewska, A., and Andrzejewski, W. (2021). Comparative assessment of female sexual function following transobturator midurethral sling for stress urinary incontinence. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18052286"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Melkie, T.B., Gashaw, Z.M., Workineh, Z.A., Andargie, T.M., Debele, T.Z., and Nigatu, S.G. (2022). Translation, reliability, and validity of Amharic versions of the Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7). PLoS ONE, 17.","DOI":"10.1101\/2022.06.17.22276289"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Guallar-Bouloc, M., G\u00f3mez-Bueno, P., Gonzalez-Sanchez, M., Molina-Torres, G., Lomas-Vega, R., and Gal\u00e1n-Mercant, A. (2021). Spanish questionnaires for the assessment of pelvic floor dysfunctions in women: A systematic review of the structural characteristics and psychometric properties. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182312858"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.ejogrb.2015.03.029","article-title":"Responsiveness of the Spanish pelvic floor distress inventory and pelvic floor impact questionnaires short forms (PFDI-20 and PFIQ-7) in women with pelvic floor disorders","volume":"190","author":"Lacomba","year":"2015","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1007\/s00192-014-2563-y","article-title":"Sexual function in women with anal incontinence using a new instrument: The PISQ-IR","volume":"26","author":"Pauls","year":"2015","journal-title":"Int. Urogynecology J."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"5518","DOI":"10.1097\/JS9.0000000000002584","article-title":"Application of single-incision mini-sling surgery versus standard mid-urethral sling surgery in female stress urinary incontinence: A systematic review and meta-analysis of randomized controlled trials","volume":"111","author":"Zhou","year":"2025","journal-title":"Int. J. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1007\/s00192-025-06058-5","article-title":"Impact of Single-Incision Sling Placement on Female Sexual Function in Women with Stress Urinary Incontinence","volume":"36","year":"2025","journal-title":"Int. Urogynecology J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"98","DOI":"10.4274\/jtgga.galenos.2025.2024-8-7","article-title":"Evaluation of the efficacy of mini-sling in the treatment of stress urinary incontinence through patient-reported outcomes and transperineal ultrasonography","volume":"26","author":"Tekin","year":"2025","journal-title":"J. Turk. Ger. Gynecol. Assoc."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.ogrm.2022.04.006","article-title":"Pelvic organ prolapse: Anatomical and functional assessment","volume":"32","author":"Abbas","year":"2022","journal-title":"Obstet. Gynaecol. Reprod. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1007\/s00192-012-1952-3","article-title":"The pelvic organ prolapse incontinence sexual questionnaire, IUGA-revised (PISQ-IR)","volume":"24","author":"Rogers","year":"2013","journal-title":"Int. Urogynecology J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2657","DOI":"10.1007\/s00192-021-04748-4","article-title":"Pelvic floor distress inventory (PFDI)\u2014Systematic review of measurement properties","volume":"32","author":"Virtuoso","year":"2021","journal-title":"Int. Urogynecology J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"191","DOI":"10.36502\/2020\/ASJBCCR.6211","article-title":"Epidemiology analysis of pelvic floor medicine center in Southern Israel using PFDI-20 and PISQ-12 quality of life questionnaires","volume":"3","author":"Levy","year":"2020","journal-title":"Asploro J. Biomed. Clin. Case Rep."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2131","DOI":"10.1007\/s00192-013-2144-5","article-title":"Translation and psychometric evaluation of the Greek short forms of two condition-specific quality of life questionnaires for women with pelvic floor disorders: PFDI-20 and PFIQ-7","volume":"24","author":"Grigoriadis","year":"2013","journal-title":"Int. Urogynecology J."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e-rbgo10","DOI":"10.61622\/rbgo\/2024AO10","article-title":"Prevalence of colorectal symptoms and anal incontinence in patients with pelvic organ prolapse attended at an outpatient urogynecology service","volume":"46","author":"Arellano","year":"2024","journal-title":"Rev. Bras. de Ginecol. e Obs."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.ejogrb.2017.02.028","article-title":"The impact of genital self-image on sexual function in women with pelvic floor disorders","volume":"211","author":"Handelzalts","year":"2017","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1007\/s00404-023-07140-3","article-title":"Quality-of-life improvements in patients after various surgical treatments for pelvic organ prolapse","volume":"309","author":"Guan","year":"2024","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Li, Y., Li, L., Wen, Y.B., and Luo, Q. (2025). Effects of total urethral suspension combined with posterior pelvic floor reconstruction on sexual function in women with stress urinary incontinence and concomitant vaginal laxity syndrome. Front. Surg., 12.","DOI":"10.3389\/fsurg.2025.1643253"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1089\/gyn.2023.0092","article-title":"Single-Incision Sling Versus Polyacrylamide Hydrogel During Transvaginal Prolapse Surgery for Occult Stress Urinary Incontinence: A Retrospective Cohort Study","volume":"40","author":"Abdelaziz","year":"2024","journal-title":"J. Gynecol. Surg."},{"key":"ref_26","first-page":"149","article-title":"Efficacy of polyacrylamide hydrogel for female urinary incontinence: Outcome of a single centre","volume":"11","author":"Buckingham","year":"2023","journal-title":"East. Ukr. Med. J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"101221","DOI":"10.1016\/j.cont.2024.101221","article-title":"Retrospective analysis of the efficacy and safety of polyacrylamide hydrogel (Bulkamid\u00ae) peri-urethral bulking injection at the time of pelvic floor repair in women with pelvic organ prolapse and urodynamic stress incontinence. A pilot study","volume":"10","author":"Lemmon","year":"2024","journal-title":"Continence"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1007\/s00192-020-04618-5","article-title":"Quality of life and sexual function after TVT surgery versus Bulkamid injection for primary stress urinary incontinence: 1 year results from a randomized clinical trial","volume":"32","author":"Mikkola","year":"2021","journal-title":"Int. Urogynecology J."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1007\/s00192-019-04077-7","article-title":"TVT-O vs. TVT-Abbrevo for stress urinary incontinence treatment in women: A randomized trial","volume":"31","author":"Zullo","year":"2020","journal-title":"Int. Urogynecology J."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1093\/jsxmed\/qdad070","article-title":"Impact of female stress urinary incontinence and related treatments on the sexual function of male partners: A systematic review and meta-analysis","volume":"20","author":"Tian","year":"2023","journal-title":"J. Sex. Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"101742","DOI":"10.1016\/j.cont.2024.101742","article-title":"Comprehensive management of neurogenic stress urinary incontinence in women","volume":"13","author":"Pinto","year":"2025","journal-title":"Continence"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1557","DOI":"10.1007\/s00192-021-05028-x","article-title":"Antenatal pelvic floor muscle training and urinary incontinence: A randomized controlled 7-year follow-up study","volume":"33","author":"Stafne","year":"2022","journal-title":"Int. Urogynecology J."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s40137-023-00371-y","article-title":"Overview of Surgical Management of Urinary Incontinence","volume":"11","author":"Yoon","year":"2023","journal-title":"Curr. Surg. Rep."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.12688\/f1000research.16356.1","article-title":"Recent advances in surgical management of urinary incontinence","volume":"8","author":"Downey","year":"2019","journal-title":"F1000Research"}],"container-title":["Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2571-841X\/8\/3\/173\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:41:37Z","timestamp":1760035297000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2571-841X\/8\/3\/173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,7]]},"references-count":34,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,9]]}},"alternative-id":["reports8030173"],"URL":"https:\/\/doi.org\/10.3390\/reports8030173","relation":{},"ISSN":["2571-841X"],"issn-type":[{"value":"2571-841X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,7]]}}}