Related Experiment Video
Updated: Jun 13, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Body image in women before and after reconstructive surgery for pelvic organ prolapse
Jerry L Lowder1, Chiara Ghetti, Pamela Moalli
1Division of Urogynecology, Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh, School of Medicine, Pittsburgh, PA 15213, USA. jlowder@mail.magee.edu
Introduction And Hypothesis:
This study seeks to determine the impact of prolapse surgery on body image in women with pelvic organ prolapse.
Methods:
Case-control study of 76 sexually active women with greater than or equal to stage II prolapse planning reconstructive surgery and 67 women with lesser than or equal to stage I prolapse. Questionnaires/examinations were completed at baseline and 6 months postoperatively for cases and at baseline for controls: Body Exposure During Sexual Activity Questionnaire (BESAQ), Body Image Quality of Life Inventory (BIQLI), Pelvic Floor Distress Inventory (PFDI)/Pelvic Floor Impact Questionnaire (PFIQ), and Pelvic Organ Prolapse-Incontinence Sexual Function Questionnaire-12 (PISQ-12), and the Pelvic Organ Prolapse Quantification (POPQ) examination.
Results:
Baseline and 6-month data were available for 64 case women with mean age of 60 +/- 8 years, mean body mass index of 28 +/- 5 kg/m(2), 96% Caucasian, and 83% postmenopausal. Baseline POPQ stage distribution was: stage II 14%, stage III 78%, and stage IV 8%. BESAQ, BIQLI, PFDI/PFIQ, and PISQ-12 postoperative scores significantly improved compared to preoperatively (all p
Conclusions:
Body image, sexual function, and pelvic floor symptoms improve after prolapse surgery.
