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Sexual function after robot-assisted prolapse surgery: a prospective study
Femke van Zanten1,2, Cherèl Brem3, Egbert Lenters3
1Department of Gynecology, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands. f.van.zanten@meandermc.nl.
International Urogynecology Journal
|April 25, 2018
Summary
Robot-assisted surgery for pelvic organ prolapse (POP) improved sexual function, particularly physical and emotional aspects, one year post-operation. While the number of sexually active women and dyspareunia rates remained unchanged, fewer women avoided intercourse due to symptoms.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
- Sexual Health
Background:
- Female pelvic organ prolapse (POP) significantly impacts quality of life, including sexual function.
- Robot-assisted surgery is a growing treatment modality for POP, yet its effects on sexual health require further investigation.
Purpose of the Study:
- To evaluate the impact of robot-assisted sacrocolpopexy (RASC) and robot-assisted supracervical hysterectomy with sacrocervicopexy (RSHS) on female sexual function.
- To assess changes in sexual activity, intercourse avoidance, and validated sexual function scores post-surgery.
Main Methods:
- Prospective cohort study of 107 women undergoing robot-assisted POP surgery.
- Sexual function assessed using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) pre- and post-operatively.
- Prolapse staging utilized the simplified Pelvic Organ Prolapse Quantification (S-POP) system.
Main Results:
- No significant change in the overall number of sexually active women (58.9% vs. 63.5%).
- A significant decrease in women avoiding sexual intercourse post-surgery compared to pre-surgery (p=0.021).
- Mean PISQ-12 scores improved significantly at 1-year follow-up (p=0.004), driven by physical and behavioral-emotive domains.
Conclusions:
- Robot-assisted middle-compartment surgery enhances sexual function one year post-procedure.
- Improvements are noted in physical and emotional aspects of sexual health.
- No significant differences were observed in the overall rate of sexual activity or dyspareunia.
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