Sexual Function Following Sphincteroplasty for Women With Third-Degree and Fourth-Degree Perineal Tears

Lewicky, Christina E.; Valentin, Carl; Saclarides, Theodore J.

doi:10.1007/s10350-004-0648-2

Cited by 20 publications

(6 citation statements)

References 10 publications

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“…Previous studies have commented on this relationship in patients recruited from specialty centers 3 or in women after sphincteroplasty. 5,6,8,9 Consistent with our findings suggesting that the majority of women with FI engage in sexual activity, a case control study (n=52) that evaluated sexual outcomes in women one year after sphincteroplasty identified 25 participants (17 cases and 8 controls) with some accidental bowel leakage and found that 73% of this group was sexually active. 5 Additionally a study of 621 men and women recruited from specialty centers treating FI reported that 70% disagreed that FI had serious repercussions on their sexual life 3 .…”

Section: Discussionsupporting

confidence: 85%

“…5–7 Further, measures of sexual dysfunction have tended to be unidimensional 3,4 and studies have not consistently controlled for co-morbid conditions such as other pelvic floor disorders. 3,6,8–10 Consequently, the true prevalence of sexual dysfunction in women with AI is unknown and it is unclear whether sexual problems in women with AI are specifically attributable to their incontinence or merely a reflection of other co-morbid health problems.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fecal Incontinence Decreases Sexual Quality of Life, But Does Not Prevent Sexual Activity in Women

Imhoff

Brown

Creasman

et al. 2012

Diseases of the Colon &Amp; Rectum

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Background The impact of anal incontinence on women’s sexual function is poorly understood. Objective To investigate the relationship between anal incontinence and sexual activity and functioning in women. Design Cross-sectional study. Settings Community-based integrated healthcare delivery system. Patients 2,269 ethnically-diverse women aged 40 to 80 years. Main Outcome Measures Self-administered questionnaires assessed accidental leakage of gas (flatal incontinence) and fluid/mucus/stool (fecal incontinence) in the past 3 months. Additional questionnaires assessed sexual activity, desire and satisfaction, as well as specific sexual problems (difficulty with arousal, lubrication, orgasm, or pain). Multivariable logistic regression models compared sexual function in women with 1) isolated flatal incontinence, 2) fecal incontinence (with or without flatal incontinence), and 3) no fecal/flatal incontinence, controlling for potential confounders. Results Twenty-four percent of women reported fecal incontinence and 43% reported isolated flatal incontinence in the prior 3 months. The majority were sexually active (62% of women without fecal/flatal incontinence, 66% with isolated flatal incontinence, and 60% with fecal incontinence; p=0.06). Compared to women without fecal/flatal incontinence, women with fecal incontinence were more likely to report low sexual desire (OR:1.41 [CI:1.10–1.82]), low sexual satisfaction (OR:1.56 [CI:1.14–2.12]), and limitation of sexual activity by physical health (OR:1.65 [CI:1.19–2.28]) after adjustment for confounders. Among sexually active women, women with fecal incontinence were more likely than women without fecal/flatal incontinence to report difficulties with lubrication (OR:2.66 [CI:1.76–4.00]), pain (OR:2.44 [CI:1.52–3.91]), and orgasm (OR:1.68 [CI:1.12–2.51]). Women with isolated flatal incontinence reported similar sexual functioning to women without fecal/flatal incontinence. Limitations Cross-sectional design prevented evaluation of causality. Conclusions While most women with anal incontinence are sexually active, those with fecal incontinence are at high risk for several aspects of sexual dysfunction. This indicates that sexual function is important to women with anal incontinence and should be prioritized during therapeutic management.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Fecal Incontinence Decreases Sexual Quality of Life, But Does Not Prevent Sexual Activity in Women

Imhoff

Brown

Creasman

et al. 2012

Diseases of the Colon &Amp; Rectum

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“…Similarly, increasing literature suggests high rates of dypareunia after vaginal repairs with permanent mesh [16,28]. Therefore, it is essential to not only discuss SF and patient expectations prior to reconstructive surgery [15,26,27,29,30], but to capture and report postoperative SF in surgical trials. These data suggest that reconstructive pelvic surgeons still need to improve reporting outcomes on this important pelvic floor issue.…”

Section: Discussionmentioning

confidence: 99%

Urogynecology and Sexual Function Research. How Are We Doing?

Löwenstein¹,

Pierce²,

Pauls

2009

The Journal of Sexual Medicine

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Introduction Urinary incontinence (UI) and pelvic organ prolapse (POP) negatively impact health-related quality of life by affecting daily activities, body image, and sexual relationships. Aim To evaluate interest in sexual function (SF) research among urogynecologists. Main Outcome Measures The rate of abstracts presented at national meetings that dealt with SF over a 5-year period. Methods We reviewed all abstracts presented as an oral podium, moderated poster, and nonmoderated posters at meetings of the Society of Gynecologic Surgeons (SGS) and American Urogynecologic Society (AUGS) between 2002 and 2007. Abstracts involving SF outcomes were categorized according to conference year, type of pelvic floor dysfunction, and type of intervention. The Friedman test was used to compare groups with respect to percentages. Results During the study period, the number of abstracts related to SF increased significantly at both meetings. In 2002, there were no studies reported SF outcomes at the SGS meeting, and only 3% (four) of studies at AUGS meeting dealt with SF. Subsequently, in 2007, 10% (nine) and 9% (15) of the abstracts presented at the SGS and AUGS meetings, respectively, addressed SF (P < 0.001 and P < 0.003, respectively). The majority of the studies (60–70%) presented at both meetings investigated the relationship between SF and various surgical interventions for POP and stress UI. Conclusion Disorders of the female pelvic floor, such as UI and POP, can influence SF and satisfaction. Our study demonstrates that the awareness and interest of urogynecologists in this area have been increasing steadily. However, most pelvic floor research presentations still do not mention SF in their outcome. Since surgery alone cannot treat the majority of women with sexual dysfunction, there is a need for collaborative work among urogynecologists, gynecologists, female urologists, and sexual therapists.

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“…There was no significant difference in the functional outcome or the number of complications after the sphincter repair; however, there was increased morbidity from the stoma. Sexual function improved after sphincteroplasty per a study done by Lewicky et al 6 Libido, physical sensation, and partner satisfaction improved after the surgery.…”

Section: Sphincteroplastymentioning

confidence: 80%

Surgical Management for Fecal Incontinence

Anandam

2014

Clinics in Colon and Rectal Surgery

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Fecal incontinence is a socially debilitating condition that can lead to social isolation, loss of self-esteem and self-confidence, and depression in an otherwise healthy person. After the appropriate clinical evaluation and diagnostic testing, medical management is initially instituted to treat fecal incontinence. Once medical management fails, there are a few surgical procedures that can be considered. This article is devoted to the various surgical options for fecal incontinence including the history, technical details, and studies demonstrating the complication and success rate.

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Sexual Function Following Sphincteroplasty for Women With Third-Degree and Fourth-Degree Perineal Tears

Abstract: Anal sphincteroplasty for the treatment of incontinence in women with third- and fourth-degree perineal tears improves physical and emotional sexual well-being and function.

Cited by 20 publications

References 10 publications

Fecal Incontinence Decreases Sexual Quality of Life, But Does Not Prevent Sexual Activity in Women

Fecal Incontinence Decreases Sexual Quality of Life, But Does Not Prevent Sexual Activity in Women

Urogynecology and Sexual Function Research. How Are We Doing?

Surgical Management for Fecal Incontinence

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