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Impact of rectopexy on sexual function: a cohort analysis
H A Formijne Jonkers1, N Poierrié, W A Draaisma
1Dept. of Surgery, Meander Medical Center, Utrechtseweg 160, 3818 ES, Amersfoort, The Netherlands.
International Journal of Colorectal Disease
|July 2, 2013
Summary
Laparoscopic ventral rectopexy (LVR) has a limited impact on sexual function (SF) in female patients. While some patients experienced decreased sexual activity, overall satisfaction remained high, with many reporting no change or improvement in SF.
Area of Science:
- Colorectal Surgery
- Female Pelvic Medicine
- Sexual Health
Background:
- Laparoscopic ventral rectopexy (LVR) is a common surgical procedure for rectal prolapse and rectoceles.
- The effect of LVR on patient sexual function (SF) remains largely uncharacterized.
Purpose of the Study:
- To investigate the impact of LVR on the sexual function of female patients.
- To assess changes in sexual activity, satisfaction, and overall SF after LVR.
Main Methods:
- A cohort of female patients undergoing LVR were surveyed regarding their preoperative and postoperative SF.
- Validated questionnaires, including the PISQ-12, were used to assess sexual function and satisfaction.
- Data were collected from patients who underwent LVR between 2004 and 2011.
Main Results:
- A significant decrease in sexual activity was observed post-LVR (71% to 54%).
- Patient satisfaction with SF remained high (91% pre-op vs. 85% post-op).
- Most patients reported no change (43%) or improvement (16%) in SF, while 13% experienced a decrease.
Conclusions:
- Laparoscopic ventral rectopexy appears to have a limited overall impact on the sexual function of female patients.
- Despite a reduction in sexual activity, patient satisfaction with sexual function is largely maintained post-surgery.
