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Related Experiment Video

Updated: Sep 12, 2025

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
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Sexual Function Following Surgical Approaches for Pelvic Organ Prolapse.

Danielle D Antosh1, Hunter McSpedden2

  • 1Division of Urogynecology, Department of Obstetrics and Gynecology (Dr. Antosh), Houston Methodist Hospital, Houston, Texas.

Journal of Minimally Invasive Gynecology
|August 9, 2025
PubMed
Summary

Pelvic organ prolapse (POP) surgery generally improves sexual function and reduces painful intercourse. Most women experience better sexual desire, arousal, and satisfaction post-surgery, with low risks of new pain.

Keywords:
DyspareuniaOrgasmPelvic Organ ProlapseSexual dysfunctionSurgery

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Area of Science:

  • Urogynecology
  • Female Sexual Health
  • Surgical Outcomes

Background:

  • Pelvic organ prolapse (POP) significantly impacts women's quality of life, affecting body image and sexual function.
  • Understanding the effects of POP surgery on sexual health is crucial for patient counseling and treatment planning.

Purpose of the Study:

  • To review and synthesize current evidence on changes in sexual function, including dyspareunia, desire, arousal, satisfaction, lubrication, and orgasm, following POP surgery.

Main Methods:

  • A narrative review of systematic reviews and recent trials was conducted.
  • Literature search extended through January 2025 to capture the latest findings on POP surgery's impact on sexual function domains.

Main Results:

  • Overall sexual function scores improve or remain stable after POP surgery, with benefits sustained up to five years postoperatively.
  • Dyspareunia resolution rates range from 50-74%, with de novo dyspareunia rates generally low (0-9%), except for posterior repairs (approx. 14%).
  • Improvements are commonly observed in sexual desire, arousal, and satisfaction, while effects on orgasm and lubrication are less consistent.

Conclusions:

  • Surgical repair of pelvic organ prolapse is associated with improved or unchanged sexual function.
  • POP surgery effectively reduces dyspareunia, with a low incidence of de novo dyspareunia across most repair types.
  • Key aspects of sexual function, including desire, arousal, and satisfaction, tend to benefit from prolapse surgical interventions.