Yonsei Med J.  2014 Jan;55(1):170-177. 10.3349/ymj.2014.55.1.170.

Changes in Sexual Function and Comparison of Questionnaires Following Surgery for Pelvic Organ Prolapse

• Kim SR
• Moon YJ
• Kim SK
• Bai SW

• KMID: 1779902
• DOI: http://doi.org/10.3349/ymj.2014.55.1.170

Abstract

PURPOSE
The aim of this study was to evaluate the effect of surgical repair of pelvic organ prolapse on female sexual function and to assess correlations between the two using two current standardized questionnaires.
MATERIALS AND METHODS
From October 2009 to September 2010, 143 patients with posterior compartment or combined vaginal prolapse were included. We assessed surgical outcomes according to anatomical change in the vagina and results of the Female Sexual Function Index (FSFI) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Function questionnaire (PISQ-12) both pre- and postoperatively.
RESULTS
Among the 143 preoperative patients, 99 and 84 patients responded to the PISQ-12 and FSFI, respectively. The mean PISQ-12 score increased after surgery (p<0.001). Specifically, postoperative scores for questions 8 and 12 were higher than their respective preoperative scores (p<0.001). Postoperatively, mean FSFI score changed only slightly (p=0.76), and only the score for the satisfaction domain was improved (p=0.023). In regards to vaginal anatomy, vaginal length was significantly greater postoperatively (6.99+/-0.18 vs. 7.56+/-1.08, p<0.001), and postoperative vaginal caliber was narrowed to a two-finger width.
CONCLUSION
In this study, surgery for pelvic organ prolapse was shown to affect female sexual function. Moreover, menopause was associated with a change in postoperative sexual function.

Keyword

Pelvic organ prolapse; sexual function; female sexual dysfunction; Female Sexual Function Index; Pelvic Organ Prolapse/Urinary Incontinence Sexual Function questionnaire

MeSH Terms

Aged
Female
Humans
Middle Aged
Pelvic Organ Prolapse/*physiopathology/*surgery
Questionnaires
Sexual Behavior/*physiology

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