Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well being? A prospective follow-up study

Stoutjesdijk, Jackie A.; Vierhout, Mark E.; Spruijt, J.W.M.; Massolt, Elske T.

doi:10.1007/s00192-005-1353-y

Cited by 26 publications

(18 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies reporting effect of surgical treatment of pelvic organ prolapse on sexual function come from several different countries and different cultures [22,26,27]. Both expectations form sexual relationships and a woman's comfort in expressing her sexual complaints vary by cultural background.…”

Section: Discussionmentioning

confidence: 99%

Sexual function in women after surgery for pelvic organ prolapse

et al. 2007

View full text Add to dashboard Cite

Our objective was to evaluate the effect of surgical repair of pelvic organ prolapse on female sexual function. Sixty seven women with pelvic organ prolapse were recruited in the study. Degree of pelvic organ prolapse was assessed using pelvic organ prolapse quantitation (POPQ) staging system. Female sexual function index (FSFI) questionnaire was used to assess sexual function of the cases preoperatively and 12-16 weeks after the operation. Mean age of the cases was 36.03 +/- 5.38 years. The total mean FSFI score increased from 15.9 +/- 10.7 to 21.9 +/- 11.1 (P < 0.05). Domain scores of desire, arousal, lubrication, orgasm, and satisfaction were increased significantly (P < 0.05). The mean score for the pain-free intercourse decreased significantly. Results demonstrated that sexual function was improved postoperatively. Using various instruments to assess female sexual function and differences in demographic and cultural characteristics of study groups might be the reasons of discrepancy between the reports.

show abstract

Section: Discussionmentioning

confidence: 99%

Sexual function in women after surgery for pelvic organ prolapse

et al. 2007

View full text Add to dashboard Cite

show abstract

“…In some studies, it has been shown that the sexual dysfunction rate was 20% after undergoing an anti-incontinence surgery. There are controversial studies regarding the effect of pelvic floor surgery on sexual functions; it may improve sexual functions, it may have no effect or there may be deterioration of sexual functions after surgery [18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Aslan

Uğurlucan

Bilgiç

et al. 2017

Gynecol Obstet Invest

View full text Add to dashboard Cite

Aim: To evaluate sexual functions of women having stress urinary incontinence (SUI) preoperatively and 6 months and 12 months after undergoing a transobturator tape (TOT) ± pelvic organ prolapse (POP) surgery. Methods: One hundred-ninety-five women with SUI ± POP were recruited and 150 sexually active women who had clinical ± urodynamic SUI and underwent TOT ± POP surgery were included in this prospective study. Urogynecologic symptoms were evaluated preoperatively, at 6 months, and 12 months by Female Sexual Function Index (FSFI). Results: One hundred fifty women completed the study. Seventy-four underwent TOT-only and 76 underwent TOT + concomitant surgery. Mean total scores of FSFI were 21.7 ± 7.8, 22 ± 8.7, and 22.1 ± 8 in the preoperative period, postoperative 6, and 12 months, respectively. There was significant improvement in desire and total scores in the TOT-only group, whereas there was no significant difference in the TOT + concomitant surgery group except for significant worsening in the lubrication domain. The frequency of sexual intercourse increased while that of coital incontinence decreased after surgery. Conclusions: In our study, TOT was associated with decrease in coital incontinence and significant improvement in desire. In addition, there was significant improvement in FSFI desire and total scores in the TOT-only group, whereas no significant difference was observed in the TOT + concomitant surgery group except for the worsening of lubrication.

show abstract

“…Studies on surgical treatment of pelvic organ prolapse and sexual function have been conducted in several different countries and cultures 33-35. Sexual functions, including expectations for sexual relationships and sexual complaints, vary among cultures 33-35.…”

Section: Discussionmentioning

confidence: 99%

“…Sexual functions, including expectations for sexual relationships and sexual complaints, vary among cultures 33-35. Accordingly, discrepancies in the results of earlier studies might originate from differences in demographic and clinical characteristics 33-35. Because of these differences, it is difficult to compare outcomes of different studies.…”

Section: Discussionmentioning

confidence: 99%

Changes in Sexual Function and Comparison of Questionnaires Following Surgery for Pelvic Organ Prolapse

et al. 2014

View full text Add to dashboard Cite

PurposeThe aim of this study was to evaluate the effect of surgical repair of pelvic organ prolapse on female sexual function and to assess correlations between the two using two current standardized questionnaires.Materials and MethodsFrom October 2009 to September 2010, 143 patients with posterior compartment or combined vaginal prolapse were included. We assessed surgical outcomes according to anatomical change in the vagina and results of the Female Sexual Function Index (FSFI) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Function questionnaire (PISQ-12) both pre- and postoperatively.ResultsAmong the 143 preoperative patients, 99 and 84 patients responded to the PISQ-12 and FSFI, respectively. The mean PISQ-12 score increased after surgery (p<0.001). Specifically, postoperative scores for questions 8 and 12 were higher than their respective preoperative scores (p<0.001). Postoperatively, mean FSFI score changed only slightly (p=0.76), and only the score for the satisfaction domain was improved (p=0.023). In regards to vaginal anatomy, vaginal length was significantly greater postoperatively (6.99±0.18 vs. 7.56±1.08, p<0.001), and postoperative vaginal caliber was narrowed to a two-finger width.ConclusionIn this study, surgery for pelvic organ prolapse was shown to affect female sexual function. Moreover, menopause was associated with a change in postoperative sexual function.

show abstract

Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well being? A prospective follow-up study

Abstract: Vaginal reconstructive surgery for pelvic organ prolapse has a positive effect on the sexual well being of the afflicted women.

Cited by 26 publications

References 16 publications

Sexual function in women after surgery for pelvic organ prolapse

Sexual function in women after surgery for pelvic organ prolapse

Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Changes in Sexual Function and Comparison of Questionnaires Following Surgery for Pelvic Organ Prolapse

Contact Info

Product

Resources

About