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Sexual function after pelvic surgery in women
1Department of Obstetrics and Gynaecology, Christchurch Women's Hospital, New Zealand.
Summary
Pelvic floor surgery can cause sexual dysfunction, including dyspareunia and reduced libido. Many women reported a lack of pre-operative information, highlighting the need for open discussion and better post-surgical evaluation of sexual health.
Area of Science:
- Urology
- Gynecology
- Sexual Medicine
Background:
- Pelvic floor surgery is common for nonmalignant conditions.
- Sexual function can be impacted by pelvic floor procedures.
- Understanding the prevalence of sexual dysfunction post-surgery is crucial.
Purpose of the Study:
- To assess the prevalence of sexual dysfunction after pelvic floor surgery for nonmalignant conditions.
- To identify specific types of sexual dysfunction experienced by patients.
- To evaluate patient awareness of potential sexual side effects.
Main Methods:
- Retrospective postal survey conducted among 200 women.
- Data collected on dyspareunia, libido, lubrication, and genital sensation.
- Analysis of responses from 66 participants.
Main Results:
- Dyspareunia developed in 10 new cases; 12 of 23 pre-existing cases resolved.
- Reduced libido reported by 29%, reduced lubrication by 38%, and reduced genital sensation by 18%.
- 35 women expressed significant concern over lack of pre-operative information.
Conclusions:
- Pelvic floor surgery can lead to various sexual dysfunctions.
- Inadequate pre-operative counseling regarding sexual health is a significant issue.
- Intensified evaluation and open discussion of sexual function are recommended before surgery.