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Sexual function following pelvic floor surgery.

Ranee Thakar1, Shalini Chawla, Inka Scheer

  • 1Mayday University Hospital, Croydon, UK. ranee.thakar@mayday.nhs.uk

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|May 10, 2008
PubMed
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Women reported improved sexual function after surgery for pelvic organ prolapse and urinary incontinence. The Pelvic Organ Prolapse-Urinary Incontinence Sexual Questionnaire (PISQ) showed positive results in a UK study.

Area of Science:

  • Urogynecology
  • Female sexual health
  • Surgical outcomes

Background:

  • Pelvic organ prolapse (POP) and urinary incontinence (UI) significantly impact women's quality of life.
  • Sexual dysfunction is a common concern following surgical treatment for POP and UI.

Purpose of the Study:

  • To prospectively assess sexual function using the Pelvic Organ Prolapse-Urinary Incontinence Sexual Questionnaire (PISQ) in women undergoing POP/UI surgery.
  • To evaluate the psychometric properties of the PISQ in a United Kingdom population.

Main Methods:

  • Prospective study involving 35 women undergoing POP/UI surgery.
  • Administration of PISQ, Sheffield Prolapse Symptoms Questionnaire, and King's Health Questionnaire preoperatively and 4 months postoperatively.
  • Analysis of PISQ completion rates, Cronbach alpha, and item-total correlations for psychometric evaluation.

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Main Results:

  • Significant improvement in overall PISQ scores was observed postoperatively (P=0.002).
  • Improvements were noted in the physical (P<0.001) and partner-related (P=0.004) domains of sexual function.
  • High item completion rates suggest good PISQ performance.

Conclusions:

  • Surgical treatment for pelvic organ prolapse and urinary incontinence leads to significant improvements in female sexual function.
  • The PISQ is a valid and reliable tool for assessing sexual function in women undergoing POP/UI surgery in the UK.