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Updated: Jun 28, 2026

Development of a Uterosacral Ligament Suspension Rat Model

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Published on: August 17, 2022

Does the Prolift system cause dyspareunia?

Joye K Lowman¹, Leticia A Jones, Patrick J Woodman

¹Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN, USA.

American Journal of Obstetrics and Gynecology

|November 4, 2008

Summary

This summary is machine-generated.

The Prolift procedure is linked to a 17% de novo dyspareunia rate. However, most patients would opt for the surgery again, indicating overall satisfaction despite the sexual side effect.

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Area of Science:

Urogynecology
Pelvic reconstructive surgery

Background:

Pelvic organ prolapse (POP) affects many women, with surgical repair being a common treatment.
The Prolift procedure is a widely used method for POP repair.

Purpose of the Study:

To determine the incidence of de novo dyspareunia following the Prolift procedure.
To assess the characteristics and patient satisfaction associated with de novo dyspareunia after Prolift surgery.

Main Methods:

Retrospective chart review of Prolift cases from August 2005 to August 2007.
Self-administered questionnaires were used to assess the type, degree, and impact of de novo dyspareunia.
Descriptive statistics were employed to summarize patient demographics, hormone therapy use, failure rates, and willingness for reoperation.

Main Results:

The incidence of de novo dyspareunia after Prolift surgery was 16.7%.
Over 75% of affected patients reported mild to moderate pain, primarily during insertion.
Eighty-three percent of patients experiencing de novo dyspareunia would undergo the procedure again.

Conclusions:

The Prolift procedure is associated with a notable rate of de novo dyspareunia (approximately 17%).
Despite the occurrence of dyspareunia, a significant majority of patients express willingness to have the surgery repeated, suggesting a favorable risk-benefit profile for many.