Sexual function after anterior vaginal wall prolapse surgery
Paulo Cezar Feldner1, Carlos Antonio Delroy, Sérgio Brasileiro Martins
1Section of Urogynecology and Pelvic Surgery, Department of Gynecology, Universidade Federal de São Paulo, São Paulo, SP, Brazil. pfeldner@alfa.epm.br
Clinics (Sao Paulo, Brazil)
|September 6, 2012
Summary
Both small intestine submucosa grafting and traditional colporrhaphy surgical repairs significantly improved female sexual function after anterior vaginal prolapse treatment. No significant differences in sexual function outcomes were observed between the two surgical methods at 12 months.
Area of Science:
- Urogynecology
- Female Pelvic Medicine and Reconstructive Surgery
- Sexual Health
Background:
- Anterior vaginal prolapse affects female sexual function.
- Surgical options include small intestine submucosa grafting and traditional colporrhaphy.
- Comparing sexual function outcomes is crucial for treatment selection.
Purpose of the Study:
- To compare female sexual function after surgical treatment of anterior vaginal prolapse.
- To evaluate outcomes of small intestine submucosa grafting versus traditional colporrhaphy.
Main Methods:
- Randomized controlled trial with 56 female subjects.
- Subjects assigned to small intestine submucosa graft (n=29) or traditional colporrhaphy (n=27).
- Female Sexual Function Index (FSFI) assessed at 12 months post-surgery.
Main Results:
- Both groups showed significant improvement in total FSFI scores (p<0.001).
- Improvements were observed across all sexual function domains: desire, arousal, lubrication, orgasm, satisfaction, and pain.
- No statistically significant differences in FSFI scores between the small intestine submucosa and colporrhaphy groups at 12 months.
Conclusions:
- Both small intestine submucosa repair and traditional colporrhaphy are effective in improving female sexual function postoperatively.
- There are no significant differences in sexual function outcomes between these two surgical techniques for anterior vaginal prolapse at 12 months.