RETRACTED: Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: A multicenter prospective study

Rogers, Rebecca G.; Kammerer-Doak, Dorothy; Darrow, Amy; Murray, Kristen; Olsen, Ambre L.; Barber, Matthew D.; Qualls, Clifford

doi:10.1016/j.ajog.2006.09.010

Cited by 23 publications

(31 citation statements)

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“…Prior reports have shown contradictory results, with some reporting worsening [22], and some reporting improvement [14]. The discrepancy between the results of related studies could be attributed to several reasons.…”

Section: Discussioncontrasting

confidence: 48%

“…Based upon the questionnaire used in each study, 0 5 8 5 2 8 7 3 1 5 2 1 5 8 3 5 6 1 0 2 3 8 6 4 5 8 1 1 1 8 3 1 2 2 0 0 0 1 2 2 0 4 0 0 0 0 0 0 Total 60 100 60 100 60 100 analysis has been carried out differently. Some of the studies reported the number and percent of subjects with sexual satisfaction and dissatisfaction [14], and others reported the mean score of satisfaction in all subjects [22]. To obtain comparable results, designing a standard questionnaire and using it in future researches is necessary.…”

Section: Discussionmentioning

confidence: 99%

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Sexual function in women after surgery for pelvic organ prolapse

et al. 2007

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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.

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Section: Discussioncontrasting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Sexual function in women after surgery for pelvic organ prolapse

et al. 2007

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“…Despite an improvement in urinary incontinence 36 months after surgery, sexual function scores declined significantly. The patients did not report dyspareunia and the decline may be explained by altered patient perception of genital health [Rogers et al, 2004]. Another study evaluated postoperative sexual function after anterior compartment repair with prolene mesh.…”

Section: Discussionmentioning

confidence: 99%

“…Reports of sexual function after surgery vary among authors. Rogers et al [2004] evaluated sexual function after SUI or POP surgery in 102 patients in a multicenter prospective study. Despite an improvement in urinary incontinence 36 months after surgery, sexual function scores declined significantly.…”

Section: Discussionmentioning

confidence: 99%

Analysis of outcomes of single polypropylene mesh in total pelvic floor reconstruction

Amrute

Eisenberg

Rastinehad

et al. 2006

Neurourology and Urodynamics

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Aims: A 2.5-year outcome analysis was performed on patients who underwent transvaginal repair of total pelvic organ prolapse with single polypropylene mesh. A description of the repair technique using a tension-free 4-point ¢xation is also reviewed. Methods: After proper vaginal dissection, a specially fashioned ''H'' shaped polypropylene mesh is positioned and ¢xed at 4-points. With a single piece of mesh, the anterior arms provide mid-urethral and bladder neck support, the mid-portion of the mesh corrects anterior compartment defects, and the posterior arms aid in vaginal vault suspension. Initially, bone anchors were utilized for anterior ¢xation, but currently a tension-free method is used. A retrospective analysis using chart review was performed on 96 patients who underwent this procedure from January 2000 to June 2005. Additional information was gathered by a telephone survey using a questionnaire. Statistical analysis was performed using Student's t-test, with Sigma Stat 1 . Results: Seventy-six patients (79%) were available with a mean follow-up time of 30.7 AE 1.7 months and mean age of 69.3 AE 11.3. Among those with follow-up, 36 patients (47.4%) underwent concurrent hysterectomies. Recurrence of prolapse was reported by four patients (5.2%). Sixty-eight patients (89%) were completely dry or almost dry, de¢ned as an occasional leak. For those with preoperative incontinence (n ¼ 36), average pad use per day decreased signi¢cantly from 2.1 AE 0.4 to 0.8 AE 0.2 (P < 0.005) postoperatively. Twelve patients (15.7%) reported of de novo urgency. Six patients required reoperation including excision of vaginal mesh erosion (2), uretholysis for obstruction (1), removal of palpable vaginal suture (1), and recurrent SUI (2). Among the 21 patients who are sexually active, 19 denied any dyspareunia (90.4%). Patient satisfaction was high, as the mean value was 7.9 AE 0.3 on a scale of 1 (least satis¢ed) to 10 (most satis¢ed). Conclusions: Transvaginal repair of complete pelvic prolapse using polypropylene mesh is a safe and e⁄cacious option, with minimal recurrence of prolapse and SUI. While two patients had vaginal erosions, no urethral or bladder erosions occurred. Patient satisfaction was overall favorable. Neurourol. Urodynam. 26:53^58, 2007. ß 2006

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“…According to previous studies, sexual dysfunction affects up to 50% to 68% of women with SUI [3][4][5][6][7]. Women with SUI report avoiding sexual intercourse because of wetness at night, leakage during intercourse, embarrassment, and depression [3].Reports of sexual function after SUI surgery vary, with some authors reporting improved function and others reporting deteriorated function [8][9][10][11][12][13]. The goal of this study was to evaluate the impact of midurethral sling procedures on the sexual function of women suffering from SUI preoperatively and 36 months postoperatively.…”

Section: Introductionmentioning

confidence: 98%

Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up

2010

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Purpose: It is known that 50% to 68% of women with stress urinary incontinence (SUI) have sexual function impairment and avoid sexual intercourse. Reports of sexual function after SUI surgery vary, with reports of both improved function and deteriorated function. The goal of this study was to evaluate the impact of midurethral sling procedures on the sexual function of women suffering from SUI preoperatively and 36 months postoperatively. Materials and Methods: Among 75 patients who were diagnosed with SUI and underwent the midurethral procedure, 47 patients who answered the Korean version of the Female Sexual Function Index (FSFI) Questionnaire were analyzed prospectively. The retropubic route (RPR) was used in 26 patients, whereas the transobturator route (TOR) was used in 21 patients. Fifteen patients underwent concomitant posterior colporrhaphy. The FSFI was completed before surgery and 36 months after surgery. Results: The patients' mean age was 44.9 years (range, 30-59 years) and their mean parity was 2.8 (range, 0-6). There were no significant differences in the individual FSFI domain scores between before surgery and 36 months (36.8±4.57) after surgery. There were no significant differences in sexual satisfaction between the patients with concomitant posterior colporrhaphy and patients with the midurethral sling procedure only. There were no significant differences in domain score between the TOR and the RPR, but patients experienced less pain after the RPR than after the TOR. Conclusion: There was no significant change in overall sexual function in women undergoing the midurethral sling procedure. Attention must be paid when performing the TOR procedure because it can cause pain during intercourse. Int Neurourol J 2010;14:170-6.

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RETRACTED: Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: A multicenter prospective study

Cited by 23 publications

References 0 publications

Sexual function in women after surgery for pelvic organ prolapse

Sexual function in women after surgery for pelvic organ prolapse

Analysis of outcomes of single polypropylene mesh in total pelvic floor reconstruction

Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up

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