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Sexual Function Following Surgical Approaches for Pelvic Organ Prolapse.

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Sexual Function After Pelvic Reconstructive Surgery.

Danielle D Antosh1, Nadia N Megahed1

  • 1Department of Obstetrics and Gynecology, Houston Methodist Hospital, 6550 Fannin Street, Suite 2221, Houston, TX 77030, USA.

Obstetrics and Gynecology Clinics of North America
|August 21, 2021
PubMed
Summary

Pelvic reconstructive surgery for prolapse often improves or maintains sexual function for women. Dyspareunia (pain during sex) prevalence is generally reduced after these procedures, with few exceptions.

Keywords:
DyspareuniaPelvic organ prolapseReconstructive surgerySexual activitySexual function

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Area of Science:

  • Urogynecology
  • Female sexual health
  • Pelvic reconstructive surgery

Background:

  • Sexual function is a key concern for women with pelvic organ prolapse (POP).
  • Pre-operative counseling on sexual function changes is crucial before POP surgery.
  • Understanding post-operative sexual outcomes is vital for patient management.

Purpose of the Study:

  • To evaluate the impact of pelvic reconstructive surgery on female sexual function.
  • To assess changes in dyspareunia (pain during intercourse) following prolapse repair.

Main Methods:

  • Utilized validated questionnaires to assess sexual function.
  • Analyzed patient data before and after various types of pelvic reconstructive surgery for POP.
  • Compared outcomes across different surgical approaches.

Main Results:

  • Sexual function remained unchanged or improved in most women post-surgery.
  • A reduction in the prevalence of dyspareunia was observed.
  • De novo dyspareunia occurred in 0-9% of cases, excluding posterior repair.

Conclusions:

  • Pelvic reconstructive surgery for POP generally leads to stable or improved sexual function.
  • The risk of developing new-onset dyspareunia is low, particularly with anterior or apical repairs.
  • Surgical outcomes support improved quality of life regarding sexual health for women with POP.