Shunaha Kim-Fine1, Danielle D Antosh2, Ethan M Balk3, Kate V Meriwether4, Gregg Kanter5, Alexis A Dieter6, Mamta M Mamik7, Meadow Good8, Ruchira Singh8, Alexandriah Alas9, Mohamed Foda10, David D Rahn11, Rebecca G Rogers12. 1. Department of Obstetrics and Gynecology, Cumming School of Medicine, University of Calgary, 4th Floor North Tower, 1403 29th Street NW, Calgary, Alberta, T2N 2T9, Canada. Shunaha.kim-fine@ahs.ca. 2. Department of Obstetrics and Gynecology, Houston Methodist Hospital, Houston, TX, USA. 3. Center for Evidence Synthesis in Health, Brown University School of Public Health, Providence, RI, USA. 4. Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM, USA. 5. Department of Obstetrics and Gynecology, Salinas Valley Memorial Healthcare System, Salinas, CA, USA. 6. Female Pelvic Medicine and Reconstructive Surgery, MedStar Washington, Hospital Center/Georgetown University School of Medicine, Washington, DC, USA. 7. Department of Obstetrics and Gynecology, Albert Einstein College of Medicine, Bronx, NY, USA. 8. Obstetrics and Gynecology, University of Florida, Jacksonville, FL, USA. 9. Department of Obstetrics and Gynecology, UT Health, San Antonio, TX, USA. 10. Department of Obstetrics and Gynecology, HCA/UCF Consortium, Gainesville, FL, USA. 11. Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA. 12. Department of Obstetrics and Gynecology, Albany Medical Center, Albany, NY, USA.
Abstract
INTRODUCTION AND HYPOTHESIS: This was a planned secondary analysis of a systematic review that described sexual function outcomes following pelvic organ prolapse (POP) surgery. We aimed to describe the relationship of pre- and postoperative vaginal anatomic measures with sexual function outcomes. Data Sources included the Medline, Embase, and clinicaltrials.gov databases from inception to April 2018. METHODS: The original systematic review included prospective, comparative studies that reported sexual function outcomes before and following POP surgery. Studies were extracted for population characteristics, sexual function outcomes, and vaginal anatomy, including total vaginal length (TVL) and genital hiatus. By meta-regression, we analyzed associations across studies between vaginal anatomic measurements and sexual function using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12 (PISQ-12) and dyspareunia outcomes. RESULTS: We screened 3124 abstracts and identified 74 papers representing 67 original studies. Among these, 14 studies reported TVL and PISQ-12 outcomes. Nine studies reported TVL and dyspareunia outcomes, eight studies reported GH and PISQ-12 outcomes, and seven studies reported GH and dyspareunia outcomes. We found no associations between anatomic measures and PISQ-12 or dyspareunia, although, we found a statistically significant association found between preoperative TVL and change in PISQ-12. CONCLUSION: Across studies, the evidence does not support an association between vaginal anatomy and either validated, condition-specific sexual function questionnaires or dyspareunia. However, no study has directly analyzed these associations in the setting of pelvic floor reconstructive surgery.
INTRODUCTION AND HYPOTHESIS: This was a planned secondary analysis of a systematic review that described sexual function outcomes following pelvic organ prolapse (POP) surgery. We aimed to describe the relationship of pre- and postoperative vaginal anatomic measures with sexual function outcomes. Data Sources included the Medline, Embase, and clinicaltrials.gov databases from inception to April 2018. METHODS: The original systematic review included prospective, comparative studies that reported sexual function outcomes before and following POP surgery. Studies were extracted for population characteristics, sexual function outcomes, and vaginal anatomy, including total vaginal length (TVL) and genital hiatus. By meta-regression, we analyzed associations across studies between vaginal anatomic measurements and sexual function using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12 (PISQ-12) and dyspareunia outcomes. RESULTS: We screened 3124 abstracts and identified 74 papers representing 67 original studies. Among these, 14 studies reported TVL and PISQ-12 outcomes. Nine studies reported TVL and dyspareunia outcomes, eight studies reported GH and PISQ-12 outcomes, and seven studies reported GH and dyspareunia outcomes. We found no associations between anatomic measures and PISQ-12 or dyspareunia, although, we found a statistically significant association found between preoperative TVL and change in PISQ-12. CONCLUSION: Across studies, the evidence does not support an association between vaginal anatomy and either validated, condition-specific sexual function questionnaires or dyspareunia. However, no study has directly analyzed these associations in the setting of pelvic floor reconstructive surgery.
Authors: Danielle D Antosh; Shunaha Kim-Fine; Kate V Meriwether; Gregg Kanter; Alexis A Dieter; Mamta M Mamik; Meadow Good; Ruchira Singh; Alexandriah Alas; Mohamed A Foda; Ethan M Balk; David D Rahn; Rebecca G Rogers Journal: Obstet Gynecol Date: 2020-11 Impact factor: 7.661
Authors: Yoram Abramov; Sanjay Gandhi; Sylvia M Botros; Roger P Goldberg; Wendi Sherman; Margaret Rurak; Peter K Sand Journal: Am J Obstet Gynecol Date: 2005-05 Impact factor: 8.661
Authors: Rachel N Pauls; Jeffrey L Segal; W Andre Silva; Steven D Kleeman; Mickey M Karram Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2006-06-08
Authors: Jennifer M Wu; Catherine A Matthews; Mitchell M Conover; Virginia Pate; Michele Jonsson Funk Journal: Obstet Gynecol Date: 2014-06 Impact factor: 7.661