Sexual function before and after sacrocolpopexy for pelvic organ prolapse - 22/08/11

Doi : 10.1016/j.ajog.2007.08.016

Victoria L. Handa, MD ^a, Halina M. Zyczynski, MD ^b, Linda Brubaker, MD ^c, Ingrid Nygaard, MD ^d, Nancy K. Janz, PhD ^e, Holly E. Richter, MD, PhD ^f, Patricia A. Wren, PhD, MPH ^g, Morton B. Brown, PhD ^h, Anne M. Weber, MD ⁱ
Pelvic Floor Disorders Network
^a Department of Obstetrics and Gynecology, Johns Hopkins University, Baltimore, MD
^b Department of Obstetrics and Gynecology, University of Pittsburgh, Pittsburgh, PA
^c Department of Obstetrics and Gynecology, Loyola University Medical Center, Maywood, IL
^d Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT
^e Department of Health Behavior/Health Education, University of Michigan, Ann Arbor, MI
^f Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL
^g Department of Wellness, Health Promotion and Injury Prevention, Oakland University, Rochester, MI
^h Department of Biostatistics, University of Michigan, Ann Arbor, MI
ⁱ Contraception and Reproductive Health Branch, Center for Population Research, National Institute for Child Health and Human Development, NIH, Bethesda, MD

Résumé

Objective

The objective of the study was to describe sexual function before and after sacrocolpopexy.

Study Design

In the Colpopexy and Urinary Reduction Efforts trial, sexual function was assessed in 224 women with sexual partners before and 1 year after surgery using validated questionnaires.

Results

After surgery, significantly fewer women reported sexual interference from “pelvic or vaginal symptoms” (32.5% 1 year after surgery vs 7.8% prior to surgery); fear of incontinence (10.7% vs 3.3%); vaginal bulging (47.3% vs 4.6%); or pain (39.9% vs 21.6%). The proportion of women with infrequent sexual desire (32%) did not change. More women were sexually active 1 year after surgery (171, 76.3%) than before surgery (148, 66.1%). The 11 women (7.4%) who became sexually inactive were more likely than sexually active women to report infrequent sexual desire (70.0% vs 22.1%, P < .001). The addition of Burch colposuspension did not have an impact on postoperative sexual function.

Conclusion

After sacrocolpopexy, most women reported improvements in pelvic floor symptoms that previously interfered with sexual function. The addition of Burch colposuspension did not adversely influence sexual function.

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Key words : genital prolapse, sacrocolpopexy, sexual function

Plan

Materials and Methods

Results

Comment

Supported by Grants U01 HD41249, U10 HD41268, U10 HD41248, U10 HD41250, U10 HD41261, U10 HD41263, U10 HD41269, and U10 HD41267 from the National Institute of Child Health and Human Development.
Cite this article as: Handa VL, Zyczynski HM, Brubaker L, et al. Sexual function before and after sacrocolpopexy for pelvic organ prolapse. Am J Obstet Gynecol 2007;197:629.e1-629.e6.
Reprints not available from the authors.

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Vol 197 - N° 6

P. 629.e1-629.e6 - décembre 2007 Retour au numéro

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Sexual function before and after sacrocolpopexy for pelvic organ prolapse - 22/08/11

Résumé

Objective

Study Design

Results

Conclusion

Plan

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