Changes in Urinary and Sexual Function 6 Months after Cystocele Repair with a Polypropylene Mesh

Abstract

Introduction: We used quantitative parameters obtained during the voiding phase, urinary symptoms and sexual functioning to investigate the symptomatic and functional changes after cystocele repair with a polypropylene mesh. Patients and Methods: The maximum urinary flow rate (Q_max), residual urine (RU) volume and two symptom questionnaires, the Urinary Distress Inventory (UDI-6) and the Female Sexual Function Index (FSFI), were used to retrospectively evaluate 39 consecutive cystocele patients before and 6 months after surgery. Results: Q_max, RU and FSFI were not significantly different (p = 0.366, 0.286 and 0.100, respectively) pre- and postoperatively, but the UDI-6 score had significantly improved (p < 0.001) 6 months after the cystocele repair. A concomitant sling procedure was significantly correlated with changes in the UDI-6 score (p < 0.001); the patients without stress urinary incontinence (SUI) who underwent cystocele repair only showed no symptomatic improvements in the UDI-6 score (p = 0.560). Conclusions: Correction of SUI resulted in urinary symptom improvement in cystocele patients. Cystocele repair with or without sling placement did not change Q_max, RU or sexual functioning at the 6-month follow-up.

Urogynäkologie. Alibi oder Wirklichkeit: Sexualität und Urogynäkologie

“…Gerade im Zusammenhang mit der Verwendung vaginaler Meshes spielte die Bewertung der Sexualfunktion nach den Eingriffen eine sehr große Rolle. Während zunächst eine hohe Rate von De-novo-Dyspareunie (2-16,7 %), Mesh-Erosionen und Scheidenschrumpfungen ("starre Scheide") beschrieben wurde, zeigen neuere Daten praktisch keinen Unterschied in der Reoperationsrate und im Neuauftreten von Dyspareunie [11,12].…”