Effects of genital prolapse surgery on sexuality

Abstract

Satisfaction about sexuality increases and the prevalence of sexual problems decreases in patients undergoing surgical correction of descensus uteri.

Sexual Impairment in Women Undergoing Laparoscopic Surgery for Genital Prolapse: A Hospital-Based Cohort Study

“…The limited data on vaginal or open abdominal prolapse operations are controversial and are only partly in agreement with our findings [18][19][20][21]. Pauls et al [20] found that although the reasons sexually active patients report to be the cause of their sexual impairment change, the functionality and frequency of sexual intercourse are similar before and after vaginal prolapse and incontinence surgery.…”

“…The discrepancy between the aforementioned finding and ours may be related to the relatively short, 6-month follow-up time used by Pauls et al [20]. Roovers et al [18] found a significantly elevated rate of general sexual satisfaction 1 year after vaginal or open (abdominal) prolapse surgery. In contrast, Jeng et al [19] described a significantly reduced frequency of postoperative orgasm in 20%, but no change in other sexual functions.…”

Gynecological cosmetic surgery

“…Following this, recent studies have reported dyspareunia rates to be between 13 and 20% [22,23]. Coversely, some authors have reported an improvement in the sexual satisfaction and a decrease in sexual problems following pelvic organ prolapse surgery [24]. In one study, sexual function and satisfaction improved or did not change in most women after surgery for either prolapse or urinary incontinence, or both [25].…”

Retentissement de la chirurgie du prolapsus génital sur la sexualité des patientes

“…Concernant la voie haute, trois é tudes plus ré centes [28][29][30] ont toutes utilisé des questionnaires validé s sur la sexualité . Il s'agit d'é tudes prospectives qui observent dans deux cas une amé lioration de la sexualité aprè s chirurgie et pas ou peu de modifications dans l'autre cas [28].…”

“…Il s'agit d'é tudes prospectives qui observent dans deux cas une amé lioration de la sexualité aprè s chirurgie et pas ou peu de modifications dans l'autre cas [28].…”