Ângela Rodrigues1,2,3, Carla Rodrigues4, Liana Negrão4, Vera Afreixo5, Maria Geraldina Castro4. 1. Faculty of Medicine, University of Coimbra, Azinhaga de Santa Comba, 3000-354, Coimbra, Portugal. angela.reisrodrigues@gmail.com. 2. Clinical Academic Centre of Coimbra, Coimbra, Portugal. angela.reisrodrigues@gmail.com. 3. Gynaecology Department, Coimbra Hospital and University Centre, Coimbra, Portugal. angela.reisrodrigues@gmail.com. 4. Gynaecology Department, Coimbra Hospital and University Centre, Coimbra, Portugal. 5. Centre for Research and Development in Mathematics and Applications-CIDMA, Department of Mathematics, University of Aveiro, Aveiro, Portugal.
Abstract
INTRODUCTION AND HYPOTHESIS: Knowledge about the impact of pelvic floor surgery on sexual function is limited and inconsistent. A prospective study assessed the impact of surgery for prolapse (POP) or stress urinary incontinence (SUI) on sexual function and determined the biopsychosocial predictors for changes in sexual function after surgery. MATERIALS AND METHODS: Sexually active women scheduled for correction of POP and/or SUI were recruited over a 6-month period. Consenting participants were asked to complete the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) to evaluate sexual function. The King's Health Questionnaire and Prolapse Quality-of-Life Questionnaire were used to assess UI and POP symptoms and their impact on quality of life (QoL), respectively. Women were reviewed over a period of 1 year post-surgery. RESULTS: Ninety-one patients were followed up over 1 year. After stratification into only or both SUI and POP surgery, global sexual function improved significantly in each group (p < 0.001). The improvement in the overall QoL score after pelvic surgery showed a significant correlation with the improvement in global sexual function (SUI group: r = - 0.38, p < 0.01; POP group: r = - 0.44, p < 0.05). For women undergoing SUI surgery, only educational level and prior hysterectomy had a significant association with improved sexual function. For women undergoing POP surgery with or without SUI surgical repair, no sociodemographic characteristics were preditive of improvement of sexual function. CONCLUSIONS: Significantly improved sexual function was observed 1 year after pelvic floor surgery, and the improvement was predicted by other social and physical factors in addition to normal functional anatomy.
INTRODUCTION AND HYPOTHESIS: Knowledge about the impact of pelvic floor surgery on sexual function is limited and inconsistent. A prospective study assessed the impact of surgery for prolapse (POP) or stress urinary incontinence (SUI) on sexual function and determined the biopsychosocial predictors for changes in sexual function after surgery. MATERIALS AND METHODS: Sexually active women scheduled for correction of POP and/or SUI were recruited over a 6-month period. Consenting participants were asked to complete the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) to evaluate sexual function. The King's Health Questionnaire and Prolapse Quality-of-Life Questionnaire were used to assess UI and POP symptoms and their impact on quality of life (QoL), respectively. Women were reviewed over a period of 1 year post-surgery. RESULTS: Ninety-one patients were followed up over 1 year. After stratification into only or both SUI and POP surgery, global sexual function improved significantly in each group (p < 0.001). The improvement in the overall QoL score after pelvic surgery showed a significant correlation with the improvement in global sexual function (SUI group: r = - 0.38, p < 0.01; POP group: r = - 0.44, p < 0.05). For women undergoing SUI surgery, only educational level and prior hysterectomy had a significant association with improved sexual function. For women undergoing POP surgery with or without SUI surgical repair, no sociodemographic characteristics were preditive of improvement of sexual function. CONCLUSIONS: Significantly improved sexual function was observed 1 year after pelvic floor surgery, and the improvement was predicted by other social and physical factors in addition to normal functional anatomy.
Entities:
Keywords:
Female sexual function; Pelvic floor surgery; Pelvic organ prolapse; Quality of life questionnaires; Urinary incontinence
Authors: Maria Cláudia Bicudo-Fürst; Pedro Henrique Borba Leite; Felipe Placco Araújo Glina; Willy Baccaglini; Rafael Vilhena de Carvalho Fürst; Carlos Alberto Bezerra; Sidney Glina Journal: Sex Med Rev Date: 2017-12-28
Authors: Astrid Zawodnik; Alexandre Balaphas; Nicolas Christian Buchs; Guillaume Zufferey; Joan Robert-Yap; Leo H Buhler; Bruno Roche; Frédéric Ris Journal: Sex Med Date: 2019-09-12 Impact factor: 2.491