[Assessment patient's sexuality after prolapse repair using the Elevate™ kit]

Area of Science:

• Urogynecology
• Pelvic Floor Surgery
• Sexual Health

Background:

• Symptomatic urogenital prolapse affects quality of life and sexual function.
• Vaginal prolapse repair aims to restore anatomy and improve patient well-being.

Purpose of the Study:

• To evaluate the impact of the Elevate™ kit for vaginal prolapse repair on patient sexuality.
• To assess anatomical outcomes, quality of life, and complications after using the Elevate™ kit.

Main Methods:

• Retrospective study of 177 patients undergoing prolapse repair with the Elevate™ kit (anterior and/or posterior).
• Sexual function assessed using the Pelvic Organ Prolapse/Incontinence Sexual Function Questionnaire (PISQ-12).
• Anatomical outcomes and quality of life evaluated using POP-Q, PFDI20, and PFIQ-7 questionnaires.

Main Results:

• A 53.1% response rate with a mean follow-up of 29 months.
• 49% of patients were sexually active post-procedure, with an average PISQ-12 score of 34.5/48.
• 90% anatomical success rate; de novo dyspareunia occurred in 10.8% of patients.

Conclusions:

• The Elevate™ kit provides satisfactory functional and anatomical results for vaginal prolapse repair.
• The rate of de novo dyspareunia is considered acceptable when compared to existing literature.
• The study supports the Elevate™ kit as an effective option for prolapse surgery.