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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
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Prolapse or incontinence: what affects sexual function the most?

Swati Jha1, Deepa Gopinath2

  • 1Department of Urogynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, Jessop Wing, Tree Root Walk, Sheffield, UK, S10 2SF. Swati.Jha@sth.nhs.uk.

International Urogynecology Journal
|November 21, 2015
PubMed
Summary

Pelvic organ prolapse (POP) and stress urinary incontinence (SUI) similarly impact sexual function. However, women with POP and their partners more frequently avoid intercourse compared to those with SUI.

Keywords:
Pelvic floor dysfunctionPelvic organ prolapseSexual dysfunctionSexual functionUrinary incontinence

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Area of Science:

  • Urology
  • Gynecology
  • Sexual Medicine

Background:

  • Pelvic organ prolapse (POP) and stress urinary incontinence (SUI) are common conditions affecting women's health.
  • Both POP and SUI can negatively impact sexual function, but comparative data are limited and conflicting.
  • Understanding the distinct effects of POP and SUI on sexual function is crucial for targeted treatment and patient counseling.

Purpose of the Study:

  • To compare the effects of pelvic organ prolapse (POP) and stress urinary incontinence (SUI) on female sexual function.
  • To evaluate differences in sexual dysfunction incidence and symptom presentation between women undergoing surgery for POP versus SUI.

Main Methods:

  • A comparative study involving 343 women undergoing surgery for either POP (stage ≥2) or urodynamically proven SUI.
  • Pre-operative sexual function data collected using an electronic pelvic floor assessment questionnaire (ePAQ).
  • Statistical analysis using the Mann-Whitney U test to compare sexual dysfunction and symptom avoidance between groups.

Main Results:

  • No significant difference in the overall impact of POP and SUI on sexual function was observed between the two groups (p = 0.703).
  • Women with POP reported significantly higher rates of intercourse avoidance (73%) compared to women with SUI (36%) (p = 0.00).
  • Partners of women with POP also demonstrated significantly higher avoidance rates (50%) than partners of women with SUI (24%) (p = 0.00).

Conclusions:

  • While the overall sexual dysfunction impact is similar, pelvic organ prolapse leads to greater patient and partner avoidance of intercourse than stress urinary incontinence.
  • These findings highlight the importance of addressing sexual function concerns in women with POP and SUI.
  • Further research may explore specific interventions to mitigate sexual avoidance in POP patients.