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01-02-2006 | Original Article

Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well being? A prospective follow-up study

Authors: Jackie A. Stoutjesdijk, Mark E. Vierhout, Johan W. M. Spruijt, Elske T. Massolt

Published in: International Urogynecology Journal | Issue 2/2006

Abstract

Objective: To compare sexual well being in women with pelvic organ prolapse before and after vaginal reconstructive surgery. Methods: Sixty-seven women, mean age 61 (36–85) years, who underwent vaginal reconstructive surgery, were asked to complete detailed questionnaires before and after surgery. In addition, they underwent a physical examination using the Pelvic Organ Prolapse Quantification (POPQ), before surgery and at follow-up. Results: Mean duration of follow-up was 14.4 months (6.6–27.6 months). The overall satisfaction with the operation was high with a mean of 7.5 on a visual analogue scale from 0 to 10. There was a significant improvement of dyspareunia after vaginal reconstructive surgery. The ability to have intercourse, the satisfaction with intercourse as well as the frequency of intercourse also improved although not significantly. Urine loss during intercourse improved significantly. Conclusion: Vaginal reconstructive surgery for pelvic organ prolapse has a positive effect on the sexual well being of the afflicted women.

Weber AM, Walters MD, Schover LR, Mitchinson AR (1995) Sexual function in women with uterovaginal prolapse and urinary incontinence. Obstet Gynecol 85:483–487

Kelleher CJ, Cardozo LD, Wise BG, Cutner A (1992) The impact of urinary incontinence on sexual function. Neurol Urody 11:359–360

Clark A, Romm J (1993) Effect of urinary incontinence on sexual activity in women. J Reprod Med 38(9):679–683

Rogers GR, Villareal A, Kammerer-Doak D, Qualls C (2001) Sexual function in women with and without urinary incontinence and/or pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 12(6):361–365

Haase P, Skibsted L (1988) Influence of operations for stress incontinence and/or genital descensus on sexual life. Acta Obstet Gynecol Scand 67(7):659–661

Milani AL, Flu PK, Vierhout ME, Wallenburg HC (1993) Results and complications of vaginal correction of vaginal and uterine prolapse with or without urinary incontinence; a prospective study. Ned Tijdschr Geneeskd 137(5):250–255

Weber AM, Walters MD, Piedmonte MR (2000) Sexual function and vaginal anatomy in women before and after surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 182(6):1610–1615

Richardson AC (1993) The rectovaginal septum revisited: its relationship to rectocele and its importance in rectocele repair. Clin Obstet Gynecol 36:976–983

van der Vaart CH, de Leeuw JRJ, Roovers JPWR, Heintz APM (2003) Measuring health-related quality of life in women with urogenital dysfunction: the urogenital distress inventory and incontinence impact questionnaire revisited. Neurourol Urodyn 22:97–104

10.

Bump RC, Mattiason A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, Shull BL, Smith AR (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17

11.

Kahn MA, Stanton SL (1997) Posterior colporrhaphy: its effect on bowel and sexual function. Br J Obstet Gynaecol 104:82–86

12.

Moran PA, Dwyer PL, Ziccone SP (1999) Urinary leakage during coitus in women. J Obstet Gynaecol 19(3):286–288

13.

Porter WE, Steele A, Walsh P, Kohli N, Karram MM (1999) The anatomic and functional outcomes of defect-specific rectocele repairs. Am J Obstet Gynecol 181(6):1353–1359

14.

Vierhout ME, Gianotten WL (1993) Mechanisms of urine loss during sexual activity. Eur J Obstet Gynecol Reprod Biol 52(1):45–47

15.

Kizilkaya Beji N, Yalcin O, Ayyildiz EH, Kayir A (2005) Effect of urinary leakage on sexual function during sexual intercourse. Urol Int 74(3):250–255

16.

Whiteside JL, Weber AM, Meyn LA, Walters MD (2004) Risk factors for prolapse recurrence after vaginal repair. Am J Obstet Gynecol 191:1533–1538

17.

Swift SE, Tate SB, Nicholas J (2003) Correlation of symptoms with degree of pelvic organ support in a general population of women: what is pelvic organ prolapse? Am J Obstet Gynecol 189:372–379

18.

Swift SE (2004) Classification of pelvic organ prolapse. Gynaecology Forum 9(1):12–14

Title: Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well being? A prospective follow-up study
Authors: Jackie A. Stoutjesdijk
Mark E. Vierhout
Johan W. M. Spruijt
Elske T. Massolt
Publication date: 01-02-2006
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 2/2006
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-005-1353-y

At a glance: The STEP trials

Springer Medicine

Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well being? A prospective follow-up study

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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