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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Sexual function after rectocele repair.

Sonja Brandner1, Ash Monga, Michael D Mueller

  • 1Princess Anne Hospital, Southampton, UK.

The Journal of Sexual Medicine
|November 9, 2010
PubMed
Summary
This summary is machine-generated.

Surgical rectocele repair improved sexual desire, satisfaction, and pain in women. However, it did not significantly enhance arousal, lubrication, or orgasm, indicating partial benefits for sexual function.

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Area of Science:

  • Urogynecology
  • Female Sexual Health
  • Surgical Outcomes

Background:

  • Pelvic organ prolapse affects 11% of women, often impacting sexual function.
  • Rectocele, a posterior compartment prolapse, can cause significant symptoms and distress.

Purpose of the Study:

  • To assess the impact of rectocele fascial repair on sexual function in sexually active women.
  • To evaluate changes in sexual function before and after surgical intervention for symptomatic rectoceles.

Main Methods:

  • Prospective study including 68 sexually active women undergoing rectocele repair.
  • Female Sexual Function Index (FSFI) used for pre-operative and 6-month post-operative assessment.
  • Gynecological examination and prolapse staging (ICS-Pelvic Organ Prolapse Staging) performed.

Main Results:

  • Significant improvements observed in sexual desire (P<0.001), satisfaction (P<0.0001), and pain (P<0.0001).
  • No significant changes noted in arousal (P=0.0897), lubrication (P=1), or orgasm (P=0.0893).
  • One case of de novo dyspareunia reported post-surgery due to scar tissue.

Conclusions:

  • Posterior fascial repair offers partial improvement in specific domains of female sexual function.
  • Further research is needed to understand factors influencing sexual function post-rectocele repair, including potential roles of treatments like local estrogen therapy.