The study will be a double-blind, prospective experimental study. When examining patients
with stress urinary incontinence complaints, POP-Q staging in terms of pelvic organ
prolapse before surgery, symptom interrogation in the examination of the anterior/middle
and posterior compartments based on the Integral Theory in the pelvic floor examination,
Urogenital Distress Inventory (UDI-6) for the evaluation of urinary incontinence and
Female sexual function scale (FSFI) scales will be filled in to evaluate sexual
functions. One group of patients will undergo transobturator tape (TOT), and the other
group will undergo urethral ligament plication surgery.
Patients who are decided to have surgery due to stress urinary incontinence will undergo
TOT surgery and urethral plication surgery, without being told which surgery they will
have (both surgeries will be performed with the mid-urethral approach and the patient
will not be told whether mesh is used or not), with a draw system in which the computer
program will decide on the surgeon who will perform the surgery. The surgeon will always
be the same person (Esercan A), and on the morning of the surgery, he will be told about
the surgery he will perform and will be asked not to share it with the patient.
At the end of the 5th day, 2.5 months, 6 months and 1 year after the surgery, the
patients were called for control and examined by the same doctor, different from the
doctors who wrote the surgery and the publication. POP-Q staging was performed again in
terms of pelvic organ prolapse, based on the Integral Theory in the pelvic floor
examination. During the examination of the anterior/middle and posterior compartments,
symptom inquiry, Urogenital Distress Inventory (UDI-6) for the evaluation of urinary
incontinence and Female Sexual Function Scale (FSFI) scales will be filled in for the
evaluation of sexual functions. The FSFI survey has 19 questions; It evaluates 6 main
factors: sexual desire, sexual arousal, lubrication, orgasm, satisfaction and
pain/discomfort. The highest total raw score that can be obtained in this scale is 95,
the lowest raw score is 4, and after multiplying the coefficients, the highest score is
36 and the lowest score is 2. Impact coefficients used to score the entire scale; It was
determined as 0.6 for sexual desire, 0.3 for sexual arousal and lubrication, and 0.4 for
orgasm, satisfaction and pain/discomfort. A FSFI score below 26.55 is defined as
compatible with sexual dysfunction. Additionally, if there are any complications, they
will be recorded in detail.