Sexual Function after Sacrocolpopexy

Kühn, Annette; Häusermann, Aline; Brandner, Sonja; Herrmann, Gudrun; Schmid, Christoph; Mueller, Michael D.

doi:10.1111/j.1743-6109.2010.01872.x

Cited by 10 publications

(7 citation statements)

References 36 publications

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“…In women operated for gynecologic tumors, patients do report Female Sexual Arousal Disorder (FSAD), i.e., persistent or recurrent inability to attain or maintain until the completion of the sexual activity, an adequate lubrication‐swelling response of sexual excitement where “the disturbance causes marked distress or interpersonal difficulty [19].” Cancer surgery is usually more extensive to reconstructive surgery, but probably, FSAD exists as a result of any surgical procedures in the genital area.…”

Section: Discussionmentioning

confidence: 99%

Sexual Function After Rectocele Repair

Brandner

Monga

Mueller

et al. 2011

The Journal of Sexual Medicine

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Introduction Pelvic organ prolapse is a common condition among women with a prevalence of 11% and may affect the anterior, posterior, or apical compartment with a negative impact on sexual function. Aim Aim of the current study was to evaluate sexual function before and after surgical rectocele fascial repair in sexually active patients who suffer from symptomatic rectoceles. Main Outcome Measures Female Sexual Function Index (FSFI) and anatomical outcome after rectocele repair. Methods Between December 2000 and December 2009, we asked sexually active female patients who were to undergo rectocele fascial repair for symptomatic rectoceles to participate in this study. The patients were gynecologically examined before and after surgery and prolapse staging was performed using the ICS-Pelvic Organ Prolapse Staging. Patients were asked to fill in the FSFI before surgery and at 6 months follow-up. For statistical analysis, Graph Pad Prism version 5.0 for Windows was used (Graph Pad, La Jolla, CA, USA). Student’s t-test was used after normality tests to compare groups and α was set 0.05. Results Sixty-eight patients were included in this study. Median age was 72 years (range 47–91), median parity of 2 (range 0–3) and median body mass index was 29 kg/m2 (range 23–31). Main complaints preoperatively were painful prolapse feeling (n = 52), dyspareunia (n = 59), and a feeling of vaginal heaviness (n = 39). One patient who had suffered from postoperative infection that resulted in excessive scar tissue of the posterior wall suffered from de novo dyspareunia. Statistical analyses (paired t-test) showed significant improvement for desire (P < 0.001), satisfaction (P < 0.0001), and pain (P < 0.0001) and no significant changes for arousal (P = 0.0897), lubrication (P = 1), and orgasm (P = 0.0893). Conclusion Posterior fascial repair improves some domains of sexual function but not all in sexually active patients with symptomatic rectoceles, and local oestrogene treatment may contribute to this finding.

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Section: Discussionmentioning

confidence: 99%

Sexual Function After Rectocele Repair

Brandner

Monga

Mueller

et al. 2011

The Journal of Sexual Medicine

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“…Currently, the existing data in this area are hard to compare, as the tools used to evaluate sexuality are not standardised. However, all studies agree that patients with UGP experience sexual health inferior to those of the same age without a UGP .…”

Section: Introductionmentioning

confidence: 86%

Impact of laparoscopic sacrocolpopexy on symptoms, health‐related quality of life and sexuality: a medium‐term analysis

et al. 2013

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Objective• To evaluate the impact of laparoscopic sacrocolpopexy on symptoms, health-related quality of life (HRQL) and sexuality among women with symptomatic urogenital prolapse (UGP). Patients and Methods• A prospective analysis was carried out including 148 women with symptomatic UGP.• Baseline characteristics, medical and obstetric history were recorded.• The Pelvic Organ Prolapse Quantification (POP-Q) classification was used to stage the UGP. Validated tools were used to evaluate symptoms (Pelvic Floor Distress Inventory, PFDI-20) and HRQL (Pelvic Floor Impact Questionnaire, PFIQ-7). Sexual function was evaluated using the Pelvic organ prolapse urinary Incontinence Sexual Questionnaire (PISQ-12).• Measurements were recorded at the preoperative examination, then at 3 and 12 months after surgery. We compared the follow-up results with preoperative data. Results• The anatomical results at 3 months showed a significant correction (P < 0.05) relative to the preoperative values, on the three pelvic floor parameters measured, with a clinical relapse rate of 6.3%. This improvement remained significant after 12 months (P < 0.05). There was no difference between the results obtained at 3 months and those at 12 months.• At 3 months compared with the preoperative data, there was a significant improvement in PFDI-20 total mean score (32.24 vs 94.31, P < 0.05). At 12 months, the improvement remained significant (38.06 vs 94.31, P < 0.05) for all scores compared with the preoperative scores. Again, there was no difference between results at 3 months, and those at 12 months.• The results showed a significant improvement in the PFIQ-7 score at 3 (16.61 vs 64.04, P < 0.05) and 12 months (18.21 vs 64.04, P < 0.05). There was no significant difference between the scores at 3 months and those at 12months.• The total PISQ-12 score was linked significantly to urinary symptoms (P < 0.05), pelvic symptoms (P < 0.05) but not with ano-rectal ones.• At 3 months, the total mean PISQ-12 score had improved significantly compared with the preoperative score (35.42 vs 32.07, P < 0.05). At this time, only two items of the PISQ-12 questionnaire were significantly increased: 'existence of negative emotions during sexual activity' (P < 0.05) and 'the avoidance of sexual activity because of prolapse' (P < 0.05). The total mean score remained significantly improved at 12 months (36.56 vs 32.07, P < 0.05) and there was no statistical difference compared with the results at 3 months. Conclusions• Laparoscopic sacrocolpopexy resulted in the early improvement (primarily during the first 3 months) of all symptoms, HRQL and sexual function. This improvement was persistent in the medium term.• Symptoms linked with UGP had different effects on sexuality fields. • Anatomical improvement was not related to an improvement in all sexual fields.

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“…Recently, Nappi et al. [34] reviewed the use of the FSFI test and proposed different cutoff values according to four main categories: fertile women 23.4; fertile women taking oral contraceptives 20.8; menopausal women 14.1 and menopausal women taking hormone replacement therapy 18.5.…”

Section: Main Outcome Measuresmentioning

confidence: 99%

Impact of Sacral Neuromodulation on Female Sexual Function and His Correlation with Clinical Outcome and Quality of Life Indexes: A Monocentric Experience

Signorello

Seitz

Berner

et al. 2011

The Journal of Sexual Medicine

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Introduction Lower urinary tract symptoms (LUTS) have a profound impact on physical, social, and sexual well-being. Sacral neuromodulation (SNM) may have a positive effect on sexuality, though few studies have so far evaluated its impact on female sexual function. Aim To prospectively assess changes in sexual function, clinical outcome and quality of life after SNM in female patients with overactive bladder (OAB) and their possible correlation with improvement in urinary symptoms and quality of life indexes. Main Outcome Measures Correlations between differences in Female Sexual Function Index (FSFI) scores and in clinical outcome and correlations between differences in FSFI, SF36, and IQoL scores were evaluated by Spearman’s coefficient. Comparison between preoperative, midterm follow-up (MFU), and last follow-up (FFU) visits were performed by generalized linear model (GLM) for repeated measurements. Methods Between May 2003 and December 2008, 30 consecutive female patients (median age 53 years, range 35–79) with OAB underwent the two-stage procedure of SNM. Only 16 (53%) patients were considered eligible; these completed a bladder diary, the FSFI, the Status of Health questionnaire (SF36) and the Incontinence Quality of Life Index (IQoL) before implantation and on follow-up examinations. Results The results were analyzed before implantation, on MFU (median MFU 22.5 months) and on FFU (median FFU period 36.3 months). Regarding sexuality, the mean improvement in the total FSFI score was 27.9% on MFU and 29.3% on FFU. Only four patients (25%) showed a >50% improvement in global FSFI score on MFU, and 3 (25%) on FFU. A significant correlation was found between clinical improvement and improvement in sexual function. No significant correlation was found between differences in FSFI and quality of life indexes (IQoL and SF36). Conclusion Our results demonstrate that improvement in the quality of sexual function in female patients with OAB correlates with improvement in urinary symptoms.

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Sexual Function after Sacrocolpopexy

Cited by 10 publications

References 36 publications

Sexual Function After Rectocele Repair

Sexual Function After Rectocele Repair

Impact of laparoscopic sacrocolpopexy on symptoms, health‐related quality of life and sexuality: a medium‐term analysis

Impact of Sacral Neuromodulation on Female Sexual Function and His Correlation with Clinical Outcome and Quality of Life Indexes: A Monocentric Experience

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