Prevalence of Female Sexual Dysfunction among Women with Pelvic Organ Prolapse Diagnosed by Pisq-12 and Related Factors in Hung Vuong Hospital, Vietnam

Abstract

Pelvic organ prolapsed is a common problem today, and it has been gradually increasing because of the longevity of women. Pelvic organ prolapse can result in negative psychological feelings that affect on women's sexual activity. Methods: There is a cross-sectional study on sexual dysfunction in 296 women with pelvic organ prolapse grade II and III followed up at gynecological-pelvic floor unit of Hung Vuong hospital from 09/2017 to 06/2018. Results: The prevalence of female sexual dysfunction in PISQ-12 was 76.4% and 95% CI [71.6-81.2]. The rate of female sexual dysfunction in turn is: 1) Behavioral-Emotional: 93.6% 95% CI [90.8-96.4]. 2) Physiology: 62.2% CI 95% [56.7-67.7]. 3) Relationship to partner: 89.5% 95% CI [86.0-93.0]. Factor related to sexual dysfunction in women with pelvic organs (p < 0.05) is general sexual dysfunction: 1) Age group: women over age 55 increased generally the risk of sexual dysfunction, OR = 5.89, 95% CI [1.38-25.20]. 2) Diabetes mellitus increased the risk of sexual dysfunction with OR = 5.03, 95% CI [1.42-17.82]. 3) Patients with previous abortions reduced the risk of sexual dysfunction with OR = 0.49 95% CI [0.27-0.90]. Conclusion: Research on quality of life in pelvic organ prolapse should be considered more in the future.

A web-based fuzzy risk predictive-decision model of de novo stress urinary incontinence in women undergoing pelvic organ prolapse surgery

“…[5] Given that predicting the likelihood of de novo SUI depends upon a range of complex factors, physicians are looking for ways to reduce relevant risk factors and prevent the need for surgical repair, thereby reducing costs associated with surgery and ultimately improving patient rehabilitation outcomes. [6][7][8] Multiple genetic, physiological, and lifestyle-related factors may also contribute toward female urinary incontinence after POP surgery. [9] Therefore, identification of these risk factors could greatly influence the postoperative prognosis of POP patients in regards to development of de novo SUI.…”

“…Costs associated with SUI exceed 10 billion US$ annually [5] . Given that predicting the likelihood of de novo SUI depends upon a range of complex factors, physicians are looking for ways to reduce relevant risk factors and prevent the need for surgical repair, thereby reducing costs associated with surgery and ultimately improving patient rehabilitation outcomes [6–8] . Multiple genetic, physiological, and lifestyle-related factors may also contribute toward female urinary incontinence after POP surgery [9] .…”