Inka Scheer

Sexual function following pelvic floor surgery

To prospectively evaluate sexual function in women who underwent surgery for incontinence and/or prolapse using the Pelvic Organ Prolapse‐Urinary Incontinence Sexual Questionnaire (PISQ), and to provide a preliminary evaluation of the PISQs psychometric properties for a population of women in the United Kingdom.

Physical and sexual abuse in patients with overactive bladder: is there an association?

The known sequelae of sexual abuse include acute and chronic injury. The purpose of this study was to evaluate the association of overactive bladder symptoms (OABs) with a history of physical or sexual abuse. Two hundred and forty-three women who attended the gynaecological out-patient clinic or the urogynaecological clinic were recruited for our study. Based on their clinical examination, they were assigned to three groups of patients with either OAB or with stress urinary incontinence (SUI) without concomitant urgency symptoms (SUI), or without history of incontinence (control group). Afterwards, they completed an anonymous questionnaire about bladder function and physical/sexual violence. Significantly more women (30.6%, 26/85) with OAB had previously been physically or sexually abused than women with SUI (17.8%, 18/101) and of the control group (17.5%, 10/57). Our study showed that significantly more women with OAB report physical and sexual abuse than subjects with stress incontinence or no urinary complaints. Women with stress incontinence had the same rate of self-reported physical/sexual abuse as continent controls.

Female sexual dysfunction: are urogynecologists ready for it?

The aim of this study was to assess the practice of members of the British Society of Urogynaecology (BSUG) with respect to female sexual dysfunction (FSD) and compare it to members of the American Urogynecologic Society (AUGS). A web-based anonymous electronic questionnaire was sent to all (n = 150) BSUG members. Frequencies of responses and chi-square test for association with demographics were calculated. One hundred questionnaires were returned of which 95 were sufficiently filled. Fifty percent regularly screened for FSD at clinic visits and 49.5% after surgery, compared to 77% and 76% of AUGS members, respectively. The most important barrier was lack of time. Only 2% said FSD was not an important problem. Seventy-six percent found training for FSD unsatisfactory. FSD is not part of normal practice for half of BSUG members. There is, therefore, a need for better implementation of education and training at both undergraduate and postgraduate levels.

Voiding dysfunction after abdominoplasty—an unusual complication

Abdominoplasty is an electively undertaken aesthetic operation mostly performed on patients after massive weight reduction. Previous case reports have demonstrated an improvement of incontinence symptoms after abdominoplasty. We report a case where urinary dysfunction occurred after refashioning of an abdominoplasty. The stress urinary incontinence got worse but what was of greater concern to her was a noticeable change of her urinary stream in an upward direction. A urethrolysis combined with an insertion of a tension-free vaginal tape and an anterior colporrhaphy was performed. After the operation, stress urinary incontinence improved and she reported that her urine stream reverted towards a normal direction.