The effect of vaginal pelvic organ prolapse surgery on sexual function

Dirnagl, Ulrich; Dwyer, Peter; Rosamilia, Anna; Lim, Yujin; Lee, Joseph

doi:10.1002/nau.22569

Cited by 23 publications

(23 citation statements)

References 29 publications

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“…Similar results have been reported elsewhere [35,36,42]. This observation of improvement may be reassuring to the patient and clinician and may very well motivate more women suffering from POP to seek help.…”

Section: Discussionsupporting

confidence: 87%

“…Follow-up rates in LMICs are typically lower than those in high-income countries (HICs) although even follow-up rates vary considerably in HICs [36,37]. In this study, the decline in further participation, lost to follow-up for unknown reasons and relocation were the reasons for leaving the follow-up schedule.…”

Section: Discussionmentioning

confidence: 80%

“…The current study demonstrated a signi cant improvement in body image 6 months after surgery. Similarly, another study found better body image and sexual satisfaction after surgical intervention [36,50]. The patient may consider the altered genital anatomy due to the surgery to have a signi cant impact on their general sense of attractiveness.…”

Section: Discussionmentioning

confidence: 88%

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Health-related quality of life after pelvic organ prolapse surgery in Ethiopia: A 6 month follow-up study

Belayneh¹,

Gebeyehu²,

Adefris³

et al. 2020

Preprint

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Background Pelvic organ prolapse (POP) affects health-related quality of life (HRQoL). Patient-reported outcomes (PRO) measures the quality of care from the patient’s perspective. PROs are an important measure of surgical outcome and used to calculate health gains after surgical treatment. We assessed HRQoL in women undergoing surgical repair of POP. Methods Two hundred fifteen women with stage III or IV prolapse underwent surgical POP repair between February 2018 and May 2019. Pelvic Organ Prolapse Quality of Life (P-QoL-20) was administered at baseline, 3 and 6 months postoperatively to assess HRQoL. Depressive symptoms and body image also evaluated. Linear mixed-effect models were used to compare pre and postoperative HRQoL scores and investigate potential predictors. Results Participant’s mean age was 49.3 ± 9.4 years. Most (81.9%) had stage III prolapse and underwent a vaginal hysterectomy, although 40% preferred uterine preservation. No differences were seen between women follow-up and those lost to follow-up in HRQoL (p > 0.05). The P-QoL, depressive symptoms, and body image were improved 6 months post-operatively. The change in P-QoL significantly associated with body image scores. The type of surgery did not show a significant difference. Being married showed an improvement in the personal relationship subscale score (β = 5.8, p < 0.01). Conclusions Our results indicated a potential improvement of HRQoL after surgical treatment. The result could be useful for patient counseling on the expected HRQoL outcomes of surgical treatment. Surgical service should be accessible for women suffering from POP to improve HRQoL.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 88%

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Health-related quality of life after pelvic organ prolapse surgery in Ethiopia: A 6 month follow-up study

Belayneh¹,

Gebeyehu²,

Adefris³

et al. 2020

Preprint

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“…A meta-analysis of native tissue repair for prolapse and sexual function assessed dyspareunia before and after native tissue repair and reported that 47 % of women showed improvement, 39 % no change, 18 % deterioration, and 4 % had new-onset dyspareunia [21]. Ulrich showed that women who underwent vaginal repair with and without mesh reported that their sexual matters score improved significantly and their sexual bother decreased at 12 months [22]. Similarly, PISQ scores in 80 women who underwent vaginal and abdominal prolapse repair reported equivalent and significant improvement in PISQ scores at 6 months [4].…”

Section: Discussionmentioning

confidence: 99%

Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches

et al. 2016

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“…25 Similar to this study, several recent publications offer stronger evidence for improvement in quality of life: Larson et al reported high satisfaction rates eight years after sacrospinous ligament suspension, even in those women with pelvic floor defects at the hymenal ring after surgery. 26 Ulrich and colleagues reported that improvements in vaginal and sexual function depended on the type of repair, with patients undergoing levator plication reporting less benefit compared to women undergoing posterior prolapse repairs without levator plication 27 . Our study adds a large sample of highly characterized patients reporting improvement using standardized validated questionnaires.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Sexual Function 2 Years After Vaginal Surgery for Prolapse: Correction

2017

Obstetrics &Amp; Gynecology

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Objective-To longitudinally assess the effect of native tissue vaginal apical prolapse repair with anti-incontinence surgery on quality of life, sexual function, and body image between uterosacral and sacrospinous suspensions.Methods-A planned secondary analysis was performed on 374 women enrolled in a randomized trial of the two types of native tissue repair for apical prolapse. Condition-specific and HHS Public Access Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript generic quality of life, sexual function, overall and de novo dyspareunia, and body image were assessed using validated instruments at baseline, 6, 12, and 24 months postoperatively, and changes from baseline were assessed and compared between surgical groups. General linear mixed models were used for comparisons and clinically significant differences were assessed using minimum important differences.Results-Of the women randomized, 82% had outcomes available at 2 years. Overall, clinically and statistically significant improvements in generic and condition-specific quality of life and sexual function were observed after surgery. Dyspareunia rates decreased from 25% to 16% by 24 months, with only 3% of all women undergoing treatment. De novo dyspareunia occurred in 5% and 10% by 12 and 24 months, respectively. Body image scores also significantly improved from baseline. There were no clinically meaningful or statistically significant differences between groups for any of these outcomes (all p>0.05).Conclusion-Native tissue vaginal prolapse surgery results in statistically and clinically significant improvements in quality of life, sexual function, and body image at 24 months with no significant differences between uterosacral and sacrospinous suspensions. One in 10 women experience de novo dyspareunia but few requested treatment.

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The effect of vaginal pelvic organ prolapse surgery on sexual function

Abstract: Surgical intervention for POP improved the vaginal and sexual matters scores at 6 and 12 months postoperatively. Levator plication additionally to posterior vaginal repair is associated with an increase in postoperative dyspareunia rates and with decreased sexual function.

Cited by 23 publications

References 29 publications

Health-related quality of life after pelvic organ prolapse surgery in Ethiopia: A 6 month follow-up study

Health-related quality of life after pelvic organ prolapse surgery in Ethiopia: A 6 month follow-up study

Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches

Quality of Life and Sexual Function 2 Years After Vaginal Surgery for Prolapse: Correction

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