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01-01-2022 | Hysterectomy | Original Article

Improved body image after uterovaginal prolapse surgery with or without hysterectomy

Authors: Rebecca G. Rogers, Isuzu Meyer, Ariana L. Smith, Mary Ackenbom, Lindsey Barden, Nicole Korbly, Donna Mazloomdoost, Sonia Thomas, Charles Nager

Published in: International Urogynecology Journal | Issue 1/2022

Abstract

Introduction and hypothesis

The objective was to compare body image and sexual activity and function changes up to 3 years after sacrospinous ligament fixation with graft hysteropexy or vaginal hysterectomy with uterosacral ligament suspension (hysterectomy).

Methods

This was a planned secondary analysis of a multi-center randomized trial of women undergoing prolapse repair with mesh hysteropexy versus hysterectomy. Women were masked to intervention. The modified Body Image Scale (BIS), sexual activity status, and Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR) scores were reported at baseline and 1.5, 6, 12, 18, 24, and 36 months after surgery. We compared mean BIS and PISQ-IR scores, the proportion of women whose BIS scores met a distribution-based estimate of the minimally important difference (MID), and sexual activity status. Comparisons were analyzed with linear and logistic repeated measures models adjusted for site, intervention, visit, and intervention by visit interaction.

Results

Eighty-eight women underwent mesh hysteropexy; 87 underwent hysterectomy. Women were similar with regard to baseline characteristics, mean age 65.9 ± 7.3 years, and most had stage III or IV prolapse (81%). Baseline mean BIS scores were not significantly different, improved in both groups by 1.5 months, and were sustained through 36 months with no differences between groups (all p > 0.05). The estimated BIS MID was 3; and by 36 months, more women in the mesh hysteropexy group achieved the MID than in the hysterectomy group (62% vs 44%, p = 0.04). The makeup of the sexually active cohort changed throughout the study, making function comparisons difficult.

Conclusions

Body image improves following prolapse surgery whether or not hysterectomy is performed or transvaginal mesh is used at the time of repair; sexual activity status changes over time following prolapse surgery.

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Title: Improved body image after uterovaginal prolapse surgery with or without hysterectomy
Authors: Rebecca G. Rogers
Isuzu Meyer
Ariana L. Smith
Mary Ackenbom
Lindsey Barden
Nicole Korbly
Donna Mazloomdoost
Sonia Thomas
Charles Nager
Publication date: 01-01-2022
Publisher: Springer International Publishing
Keyword: Hysterectomy
Published in: International Urogynecology Journal / Issue 1/2022
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-021-04954-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Improved body image after uterovaginal prolapse surgery with or without hysterectomy

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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