Quality of life and sexual changes after double transobturator tension-free approach to treat severe cystocele

Caruso, Salvatore; Bandiera, Sebastiano; Cavallaro, Antonino; Cianci, Stefano; Vitale, Salvatore Giovanni; Rugolo, Salvatore

doi:10.1016/j.ejogrb.2010.03.016

Cited by 55 publications

(38 citation statements)

References 22 publications

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“…This study supports other prior investigations that demonstrated improvement in sexual function following surgical repair of the pelvic floor to treat POP [9–11,18,19]. The relationship between surgical repair of POP and improvement in sexual function may be explained by findings of a study evaluating sexual dysfunction in menopausal women [13].…”

Section: Discussionsupporting

confidence: 89%

“…Female patients with prolapse tend to have lower PISQ‐12 scores than their counterparts without the condition, and the difference is primarily driven by urinary incontinence during sexual activity, fear of incontinence, and avoidance of intercourse due to prolapse [17]. The PISQ‐12 has been used most commonly to evaluate sexual function after POP surgery, with increased PISQ‐12 scores in approximately 70% of patients, resulting primarily from improvement in the physical and partner‐related factors [18], with no reported changes for behavioral/emotive domains [10] including orgasm, desire, or arousal [19].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of the Psychometric Properties of the Short‐Form Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12) following Surgical Placement of Prolift+M: A Transvaginal Partially Absorbable Mesh System for the Treatment of Pelvic Organ Prolapse

Roy

Mohandas

Coyne³

et al. 2012

The Journal of Sexual Medicine

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Assessment of the Psychometric Properties of the Short‐Form Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12) following Surgical Placement of Prolift+M: A Transvaginal Partially Absorbable Mesh System for the Treatment of Pelvic Organ Prolapse

Roy

Mohandas

Coyne³

et al. 2012

The Journal of Sexual Medicine

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“…We did not study women who had undergone surgical treatment for SUI. However, studies in the literature have reported improvements in QoL and sexual function of women undergoing surgical procedures for SUI 39,40 . Therefore, the QoL and sexual functions of women undergoing SUI surgery should be monitored and evaluated.…”

Section: Discussionmentioning

confidence: 99%

How do urinary incontinence types affect sexual function and quality of life for Turkish women?

Bilgiç

Beji

2020

LUTS

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Objective Urinary incontinence (UI) subtypes may have some effects on sexual function because of diverse pathophysiological mechanisms. The objective of our study is to compare UI subtypes’ effects on women's sexual function and quality of life (QoL). Methods In this descriptive and comparative study, a total of 239 women with UI were included (89 with stress urinary incontinence [SUI], 65 with urge urinary incontinence [UUI], and 85 with mixed urinary incontinence [MUI]). Sexual function was assessed with the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12), and QoL was assessed with the Incontinence Impact Questionnaire‐7 (IIQ‐7). Results In our study, the mean total PISQ‐12 score for the UI subtypes was 29.49 ± 6.38 for SUI, 31.43 ± 5.46 for UUI, and 23.12 ± 5.54 for MUI. Women with MUI had significantly more sexual dysfunctions than the other groups (P < .001). The mean total IIQ‐7 score according to UI subtypes was 60.61 ± 31.49 for SUI, 64.40 ± 28.20 for UUI, and 70.51 ± 25.09 for MUI. As regards the scores of the IIQ‐7, UI had a negative impact on QoL for women of all groups, especially for women with MUI and UUI, but was not significantly different between the groups (P > .05). Conclusion The sexual function of women with MUI was affected more adversely than the other UI subtypes. There was no statistically significant difference between the UI subtypes according to IIQ‐7 scores, but when we examined the scores, MUI and UUI were found to have more negative effects on QoL. Clinicians and continence nurses should make routine evaluations of sexual function and QoL for women according to UI subtypes.

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“…However, the authors routinely prescribed estrogen for 6 weeks after surgery, which may have had a positive effect on the improvement in dyspareunia. Another study that evaluated sexual function changes in cystocele patients reported that sexual symptoms on the PISQ-12 were significantly improved 12 months after correcting severe cystoceles, although the objective parameters showed no improvement in color Doppler measurement [30]. Conversely, another study found that sexual function assessed by the PISQ-12 was not better 1 year after cystocele repair using the Prolift technique.…”

Section: Discussionmentioning

confidence: 99%

Changes in Urinary and Sexual Function 6 Months after Cystocele Repair with a Polypropylene Mesh

Lee¹,

Park

Choe³

et al. 2012

Urol Int

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Introduction: We used quantitative parameters obtained during the voiding phase, urinary symptoms and sexual functioning to investigate the symptomatic and functional changes after cystocele repair with a polypropylene mesh. Patients and Methods: The maximum urinary flow rate (Q_max), residual urine (RU) volume and two symptom questionnaires, the Urinary Distress Inventory (UDI-6) and the Female Sexual Function Index (FSFI), were used to retrospectively evaluate 39 consecutive cystocele patients before and 6 months after surgery. Results: Q_max, RU and FSFI were not significantly different (p = 0.366, 0.286 and 0.100, respectively) pre- and postoperatively, but the UDI-6 score had significantly improved (p < 0.001) 6 months after the cystocele repair. A concomitant sling procedure was significantly correlated with changes in the UDI-6 score (p < 0.001); the patients without stress urinary incontinence (SUI) who underwent cystocele repair only showed no symptomatic improvements in the UDI-6 score (p = 0.560). Conclusions: Correction of SUI resulted in urinary symptom improvement in cystocele patients. Cystocele repair with or without sling placement did not change Q_max, RU or sexual functioning at the 6-month follow-up.

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Quality of life and sexual changes after double transobturator tension-free approach to treat severe cystocele

Cited by 55 publications

References 22 publications

Assessment of the Psychometric Properties of the Short‐Form Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12) following Surgical Placement of Prolift+M: A Transvaginal Partially Absorbable Mesh System for the Treatment of Pelvic Organ Prolapse

Assessment of the Psychometric Properties of the Short‐Form Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12) following Surgical Placement of Prolift+M: A Transvaginal Partially Absorbable Mesh System for the Treatment of Pelvic Organ Prolapse

How do urinary incontinence types affect sexual function and quality of life for Turkish women?

Changes in Urinary and Sexual Function 6 Months after Cystocele Repair with a Polypropylene Mesh

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