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Related Experiment Video

Updated: May 20, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
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Published on: October 25, 2024

Sexual function after vaginal versus nonvaginal prolapse surgery.

Nazema Y Siddiqui1, Rebekah G Fulton, Maragatha Kuchibhatla

  • 1Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, NC 27710, USA. nazema.siddiqui@duke.edu

Female Pelvic Medicine & Reconstructive Surgery
|July 11, 2012
PubMed
Summary

Sexual function improved for women with pelvic organ prolapse after surgery, irrespective of surgical approach (vaginal vs. nonvaginal). The Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ) showed no significant differences between groups.

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Area of Science:

  • Urogynecology
  • Female Pelvic Medicine and Reconstructive Surgery
  • Sexual Health

Background:

  • Pelvic organ prolapse (POP) significantly impacts women's quality of life, including sexual function.
  • Surgical management is a common treatment for POP, with various approaches available.

Purpose of the Study:

  • To compare sexual function outcomes using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ) in women undergoing vaginal versus nonvaginal surgery for POP.
  • To evaluate the impact of surgical route on sexual function recovery after prolapse repair.

Main Methods:

  • Prospective cohort study comparing vaginal prolapse surgery with nonvaginal (abdominal or robotic) surgery.
  • Participants (stage II-IV POP) completed PISQ and pelvic floor symptom questionnaires at baseline and 6 months post-surgery.
  • Primary outcome was the change in PISQ score from baseline to 6 months.

Main Results:

  • Overall significant improvements in sexual function (PISQ scores) were observed post-surgery.
  • No statistically significant differences in PISQ scores were found between the vaginal and nonvaginal surgery groups at 6 months (P=0.92).
  • Linear regression analysis, adjusting for confounders, confirmed no difference in sexual function outcomes based on surgical route.

Conclusions:

  • Reconstructive surgery for pelvic organ prolapse is associated with improved sexual function.
  • The surgical approach (vaginal vs. nonvaginal) does not appear to significantly influence sexual function outcomes at 6 months post-surgery.