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Minimally Invasive Sacrocolpopexy: Impact on Sexual Function
Sarah Ashmore1, Elizabeth J Geller2, C Emi Bretschneider3
1Section of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago, Chicago, IL, USA.
International Urogynecology Journal
|August 5, 2024
Summary
Minimally invasive sacrocolpopexy (SCP) improves sexual function and activity while maintaining low rates of dyspareunia in patients with pelvic organ prolapse (POP). Pre-existing pain may predict persistent issues post-surgery.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
- Sexual Health
Background:
- Pelvic organ prolapse (POP) affects a growing aging population.
- Sacrocolpopexy (SCP) is a standard treatment for apical POP.
- Minimally invasive SCP is increasingly used for advanced uterovaginal prolapse.
Purpose of the Study:
- To review the literature on the impact of minimally invasive SCP on postoperative sexual function.
- To assess changes in sexual activity and dyspareunia after surgery.
Main Methods:
- Narrative review of studies on minimally invasive SCP and sexual function.
- Searched PubMed and EMBASE databases.
- Documented baseline and postoperative sexual activity, dyspareunia, and validated sexual function scores.
Main Results:
- Minimally invasive SCP is linked to enhanced postoperative sexual function and increased sexual activity.
- Low rates of dyspareunia were observed, unrelated to mesh complications.
- Persistent dyspareunia was more common in patients with baseline pain or dyspareunia.
Conclusions:
- Sexual function is a critical outcome for POP patients undergoing surgery.
- Clinicians should consider sexual function factors and address pre-existing dyspareunia before SCP.
- Minimally invasive SCP generally improves sexual function with low de novo dyspareunia rates.
