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International Urogynecology Journal

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01-06-2018 | Original Article

Prospective observational study of the impact of vaginal surgery (pelvic organ prolapse with or without urinary incontinence) on female sexual function

Authors: Veenu Tyagi, Mahesh Perera, Karen Guerrero, Suzanne Hagen, Stewart Pringle

Published in: International Urogynecology Journal | Issue 6/2018

Abstract

Introduction and hypothesis

There is a difference of opinion in the literature as to whether pelvic organ prolapse (POP) is a direct cause of female sexual dysfunction (FSD). Sexual function in women is negatively impacted by the presence of urinary symptoms. Thus, sexual dysfunction (SD) might be improved, unchanged, or worsened by pelvic floor surgery.

Methods

In this study, we observed SD and impact of surgical intervention on female sexual function (FSF) using a validated Prolapse/Urinary Incontinence Sexual Questionnaire Short Form (PISQ-12) in women undergoing surgery for POP with or without urinary incontinence. Two hundred women were recruited and followed up at 6 and 12 months postoperatively.

Results

Sexual function (SF) as measured by the PISQ-12 improved after surgery irrespective of the nature of surgery or the patient’s past gynaecology history. Improvement in SF was seen by 6 months (97 patients) postsurgery (P < 0.05), after which (at 12 months; 80 patients) no further change was observed. Improved SF was associated with better patient satisfaction postoperatively.

Conclusions

Sexual function improved in women following surgery for POP with or withour urinary incontinence, irrespective of the nature of surgery and the patient’s past gynecologic history. Results of this study will assist when counselling women with POP with or without urinary incontinence regarding treatment options.

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Title: Prospective observational study of the impact of vaginal surgery (pelvic organ prolapse with or without urinary incontinence) on female sexual function
Authors: Veenu Tyagi
Mahesh Perera
Karen Guerrero
Suzanne Hagen
Stewart Pringle
Publication date: 01-06-2018
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 6/2018
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-017-3500-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Prospective observational study of the impact of vaginal surgery (pelvic organ prolapse with or without urinary incontinence) on female sexual function

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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