Obstet Gynecol Sci.  2017 Mar;60(2):207-212. 10.5468/ogs.2017.60.2.207.

Comparison of sexual function between sacrocolpopexy and sacrocervicopexy

• Ko YC
• Yoo EH
• Han GH
• Kim YM

• KMID: 2372806
• DOI: http://doi.org/10.5468/ogs.2017.60.2.207

Abstract

OBJECTIVE
To compare sexual function before and 12 months after between sacrocolpopexy and sacrocervicopexy.
METHODS
This retrospective study examined a cohort of 55 sexually active women who underwent either supracervical hysterectomy with sacrocervicopexy (n=28) or total abdominal hysterectomy with sacrocolpopexy (n=27) for stage II to IV pelvic organ prolapse. Pelvic floor support was measured with Pelvic Organ Prolapse-Quantification examination. Pelvic floor function was measured with the Pelvic Floor Distress Inventory-Short Form 20 and sexual function was measured with Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-Short Form 12 (PISQ-12).
RESULTS
Baseline pelvic floor symptoms, demographics and PISQ-12 questionnaire scores were similar between the two groups. Overall improvements in sexual function were seen based on PISQ-12 scores in both groups, but were not statistically significant. No differences were seen in PISQ-12 scores regardless of sparing the cervix or surgical route. Responses to the PISQ-12 question of avoiding sexual intercourse because of vaginal bulging showed significant improvement in both group. No recurrences of prolapse occurred.
CONCLUSION
In women with pelvic organ prolapse, sexual function after either sacrocolpopexy or sacrocervicopexy was not different. Sexual dysfunction in terms of avoidance of sexual activity because of vaginal bulging was greatly improved in both groups with statistical significance.

Keyword

Pelvic organ prolapse; Sacrocervicopexy; Sacrocolpopexy; Sexual function

MeSH Terms

Cervix Uteri
Cohort Studies
Coitus
Demography
Female
Humans
Hysterectomy
Pelvic Floor
Pelvic Organ Prolapse
Prolapse
Recurrence
Retrospective Studies
Sexual Behavior