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Related Experiment Video

Updated: Jun 28, 2026

Transvaginal Mesh Insertion in the Ovine Model

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

Effect of vaginal polypropylene mesh implants on sexual function.

Annett Gauruder-Burmester¹, Pathena Koutouzidou, Ralf Tunn

¹German Pelvic Floor Center, St. Hedwig Hospital, Urogynecology Division, Germany. a.gauruder@alexius.de

European Journal of Obstetrics, Gynecology, and Reproductive Biology

|November 5, 2008

Summary

Vaginal mesh repair for pelvic organ prolapse did not cause sexual dysfunction in women. Post-surgery, dyspareunia resolved, with most sexual issues stemming from relationship problems, not the mesh procedure.

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Published on: October 25, 2024

Area of Science:

Urogynecology
Sexual Health
Pelvic Floor Disorders

Background:

Previous studies suggest high rates of dyspareunia and sexual dysfunction after vaginal mesh repair.
Concerns exist regarding the impact of polypropylene mesh (Apogee/Perigee) on female sexual function.

Purpose of the Study:

To investigate sexual function and dyspareunia in women following vaginal mesh repair.
To explore the role of sex therapy in addressing postoperative sexual concerns.

Main Methods:

A validated questionnaire assessed sexual function in 120 women before and 1 year after mesh insertion.
Preoperative and postoperative gynecologic examinations evaluated urogenital anatomy and function.

Main Results:

Dyspareunia, initially present in 15 women due to vaginal prolapse, was absent at 1-year follow-up.
33.3% of patients (40 women) experienced sexual disorders unrelated to surgery, linked to partnership issues.

Conclusions:

Vaginal mesh repair does not negatively impact a healthy sex life.
Sexual function is multifactorial, extending beyond genital aspects.
Sexual dysfunction is infrequently associated with urogynecologic surgery.