Pavlina Necesalova1, Jaroslava Karbanova1, Zdenek Rusavy1, Zlatko Pastor2, Magdalena Jansova3, Vladimir Kalis4. 1. Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine, Charles University, Alej Svobody 80, 304 60 Pilsen, Czech Republic. 2. National Institute of Mental Health, Klecany, Czech Republic. 3. European Centre of Excellence NTIS - New Technologies for Information Society, Faculty of Applied Sciences, University of West Bohemia, Pilsen, Czech Republic. 4. Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine, Charles University, Alej Svobody 80, 304 60 Pilsen, Czech Republic. Electronic address: kalisv@fnplzen.cz.
Abstract
OBJECTIVES: Comparison of the effects of two episiotomy types on sexual activity, dyspareunia and overall satisfaction after childbirth. STUDY DESIGN: A prospective follow-up study of a randomized comparative trial evaluating peripartum outcome of a vaginal delivery after mediolateral (MLE) or lateral (LE) episiotomy. MAIN OUTCOME MEASURES: The participants completed questionnaires regarding sexual activity, dyspareunia, perineal pain, aesthetic appearance and overall satisfaction 3 (3M) and 6 months (6M) postpartum. RESULTS: A total of 648 women were available for the analyses (306 MLE, 342 LE). The groups showed no difference regarding resumption and regularity of sex, timing of resumption, frequency and intensity of dyspareunia, perineal pain, aesthetic appearance or overall satisfaction 3M or 6M postpartum. 98.0% of women after MLE and 97.7% after LE resumed sexual intercourse within 6M after delivery (p = 0.74). In the same period 15.6% of women after MLE and 16.1% after LE suffered from considerable dyspareunia (p = 0.86). CONCLUSIONS:Quality of sexual life and perception of perineal pain after MLE is equivalent to LE.
RCT Entities:
OBJECTIVES: Comparison of the effects of two episiotomy types on sexual activity, dyspareunia and overall satisfaction after childbirth. STUDY DESIGN: A prospective follow-up study of a randomized comparative trial evaluating peripartum outcome of a vaginal delivery after mediolateral (MLE) or lateral (LE) episiotomy. MAIN OUTCOME MEASURES: The participants completed questionnaires regarding sexual activity, dyspareunia, perineal pain, aesthetic appearance and overall satisfaction 3 (3M) and 6 months (6M) postpartum. RESULTS: A total of 648 women were available for the analyses (306 MLE, 342 LE). The groups showed no difference regarding resumption and regularity of sex, timing of resumption, frequency and intensity of dyspareunia, perineal pain, aesthetic appearance or overall satisfaction 3M or 6M postpartum. 98.0% of women after MLE and 97.7% after LE resumed sexual intercourse within 6M after delivery (p = 0.74). In the same period 15.6% of women after MLE and 16.1% after LE suffered from considerable dyspareunia (p = 0.86). CONCLUSIONS: Quality of sexual life and perception of perineal pain after MLE is equivalent to LE.
Authors: Hana Cechova; Vladimir Kalis; Linda Havelkova; Zdenek Rusavy; Pavel Fiala; Martina Rybarova; Ludek Hyncik; Ladislav Krofta; Khaled M Ismail Journal: Int Urogynecol J Date: 2021-04-02 Impact factor: 2.894
Authors: Vladimir Kalis; Zdenek Rusavy; Linda Havelkova; Tomas Zitka; David Tolar; Khaled M Ismail Journal: BMC Pregnancy Childbirth Date: 2020-06-11 Impact factor: 3.007