Female sexual function and quality of life after pelvic floor surgery: a prospective observational study

Rodrigues, Ângela; Rodrigues, Carla; Negrão, Liana; Afreixo, Vera; Castro, Maria Geraldina

doi:10.1007/s00192-021-04678-1

Cited by 5 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were two main procedures for vaginal surgeries: reconstructive (in two subgroups, including repair with natural tissue [ 17 , 19 , 20 , 23 , 24 , 31 , 36 , 37 , 38 , 60 , 61 , 63 , 64 , 65 , 66 ] ( Table 2 ) and repair with mesh [ 7 , 9 , 12 , 21 , 25 , 26 , 29 , 32 , 35 , 39 , 40 , 41 , 42 , 43 , 44 , 55 , 62 , 67 , 68 , 69 , 78 , 82 , 83 , 85 ]) ( Table 3 ) and obliterative surgeries [ 18 , 27 , 60 , 71 , 72 , 73 , 86 ] ( Table 4 ). In one study, obliterative surgery and sacrospinous fixation in older postmenopausal women were compared, and the QoL was better in the sacrospinous group [ 18 ].…”

Section: Resultsmentioning

confidence: 99%

“…For estimating the effect of surgical intervention on sexual activity, 14 studies were included [ 9 , 12 , 20 , 24 , 37 , 39 , 42 , 43 , 55 , 56 , 61 , 75 , 76 , 85 ]. Among them, 10 studies used the PISQ questionnaire.…”

Section: Resultsmentioning

confidence: 99%

“… Pooled mean difference of the effect of surgical intervention (vaginal and abdominal surgery) on total quality of sexual activity. (PSIQ: Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire, FSFI: Female Sexual Function Index) [ 9 , 20 , 24 , 37 , 39 , 42 , 43 , 55 , 56 , 61 , 75 , 76 , 85 ]. …”

Section: Figurementioning

confidence: 99%

See 2 more Smart Citations

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Ghanbari

Ghaemi

Shafiee

et al. 2022

JCM

View full text Add to dashboard Cite

Introduction: Quality of life (QoL) improvement is one of the main outcomes in the management of pelvic organ prolapse as a chronic illness in women. This systematic review aimed to investigate the impact of surgical or pessary treatment for pelvic organ prolapse (POP) on quality of life. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was applied. Electronic databases, including PubMed, Scopus, and Web of Science, were searched for original articles that evaluated the QoL before and after surgical interventions or pessary in pelvic organ prolapse from 1 January 2012 until 30 June 2022 with a combination of proper keywords. Included studies were categorized based on interventions, and they were tabulated to summarize the results. Results: Overall, 587 citations were retrieved. Of these, 76 articles were found eligible for final review. Overall, three categories of intervention were identified: vaginal surgeries (47 studies), abdominal surgeries (18 studies), and pessary intervention (11 studies). Almost all interventions were associated with improved quality of life. The results of the meta-analysis showed a significant association between the employment of surgical approach techniques (including vaginal and abdominal surgeries) and the quality of life (Pelvic Floor Distress Inventory (PFDI) (MD: −48.08, 95% CI: −62.34 to −33.77, p-value < 0.01), Pelvic Floor Impact Questionnaire (PFIQ) (MD: −33.41, 95% CI: −43.48 to −23.34, p < 0.01)) and sexual activity of patients with pelvic organ prolapse (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ) (MD: 4.84, 95% CI: 1.75 to 7.92, p < 0.01)). Furthermore, narrative synthesis for studies investigating the effect of the pessary approach showed a positive association between the use of this instrument and improvement in the quality of life and sexual activity. Conclusions: The results of our study revealed a significant improvement in the women’s quality of life following abdominal and vaginal reconstructive surgery. The use of pessary was also associated with increased patient quality of life.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Ghanbari

Ghaemi

Shafiee

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…Tumor growth will cause organ and tissue compression and displacement, larger retroperitoneal tumor is more likely to cause bladder compression, resulting in a series of symptoms of stress urinary incontinence ( 36 ). Studies have shown that urinary incontinence can affect sexual function regardless of its nature ( 37 , 38 ). Surgical resection of the tumor can reduce the symptoms of urinary incontinence and improve sexual function and quality of life ( 36 – 38 ).…”

Section: Discussionmentioning

confidence: 99%

Clinical presentation, management, and research progress of adrenal schwannoma

Zhang

Wen

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

ObjectiveThis study shares our experience in managing adrenal schwannoma (AS).MethodsThe clinical data of eight patients with AS in our hospital from April 2007 to April 2022 were analyzed retrospectively.ResultsA total of 1309 patients with adrenal lesions were treated in the affiliated hospital of Guizhou Medical University for 15 years, of which only 8 cases were diagnosed as AS, accounting for 0.61%. Among the eight patients with AS, there were five females and three males, with an average age of 48.63 ± 12.05 years, and the average maximum diameter of the tumor was 6.96 ± 1.83 cm. All patients underwent adrenalectomy and were pathologically diagnosed as AS after the operation. The average follow-up time of eight patients with AS was 60.13 ± 22.33 months, and there was no recurrence or metastasis.ConclusionThe retroperitoneum is an uncommon site for schwannoma tumors, and among adrenal incidentalomas, the schwannoma is rare. The disease lacks specific clinical and imaging features, but correct diagnosis before the pathological examination is very important for clinical management and surgical decision. When imaging examination indicates a slow-growing retroperitoneal mass, schwannoma should be considered. Surgical resection is the main treatment. Pathology is the gold standard for diagnosis. Most of the tumors are benign and have a good prognosis. There is a risk of recurrence after the operation, and it should be monitored actively.

show abstract

“…Leaving aside the psychological and social effects linked to the birth event, we have observed that vaginal birth involving anatomical and functional alterations in the muscles of the pelvic floor can cause sexual problems with a decrease in quality of life [ 135 , 136 , 137 ]. After childbirth, there is a significant worsening in all sexual domains, with dyspareunia, lack of vaginal lubrication, difficulty in reaching orgasm, vaginal bleeding or irritation after sexual activity, and loss of desire [ 138 , 139 , 140 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 ].…”

Section: Postpartum Sexual Dysfunctionmentioning

confidence: 99%

Female Sexual Dysfunctions and Urogynecological Complaints: A Narrative Review

et al. 2022

View full text Add to dashboard Cite

Female sexual dysfunctions represent a real widespread problem, usually faced from a psychological point of view; however, millions of women worldwide are impacted by pelvic floor dysfunction, personal shame and social taboos, however, continue to inhibit free conversation on the subject. Women’s quality of life is considerably improved by screening, diagnosing, and controlling urogenital and sexual issues. This review aims to provide a critical perspective of urogenital conditions and common disturbances in female sexual function associated with these issues. It also includes a discussion of postpartum pelvic dysfunction.

show abstract

Female sexual function and quality of life after pelvic floor surgery: a prospective observational study

Cited by 5 publications

References 28 publications

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Clinical presentation, management, and research progress of adrenal schwannoma

Female Sexual Dysfunctions and Urogynecological Complaints: A Narrative Review

Contact Info

Product

Resources

About