Sexual function in women after urinary incontinence and/or pelvic organ prolapse surgery

Celik, Dilek Bilgic; Beji, Nezihe Kızılkaya; Yalçın, Önay

doi:10.1111/jocn.12496

Cited by 15 publications

(9 citation statements)

References 60 publications

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“…Currently, the evidence regarding sexual function and rates of dyspareunia following surgical repair of POP varies widely. Some studies have shown a decline in sexual function [10,11], whereas others have shown no change [12,13] or improvement [14][15][16]. In a study by Altman et al [10 they noted an approximately 15 % rate of dyspareunia before surgery, which decreased to 12 % in those with anterior vaginal mesh repairs.…”

Section: Introductionmentioning

confidence: 99%

Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches

et al. 2016

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Section: Introductionmentioning

confidence: 99%

Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches

et al. 2016

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“…Sexual problems commonly described in women with POP or SUI include disorders of desire, arousal, orgasm and dyspareunia. Disorders in the male partner are also seen, including premature ejaculation and erectile dysfunction [ 5 ]. A community-based survey found no difference between sexual activity and satisfaction compared with women without pelvic floor dysfunction [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Prolapse or incontinence: what affects sexual function the most?

Jha

Gopinath

2015

Int Urogynecol J

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Introduction and hypothesisPelvic organ prolapse (POP) and stress urinary incontinence (SUI) adversely affect sexual function in women. Comparative studies of the two subgroups are few and results are conflicting. The aim of this study was to compare the effect of POP and SUI on the sexual function of women undergoing surgery for these conditions.MethodsThe study population comprised women with POP or SUI in a tertiary referral hospital in the UK. Women who underwent SUI surgery had no symptoms of POP and had urodynamically proven stress incontinence. Patients with POP had ≥ stage 2 prolapse, without bothersome urinary symptoms. Pre-operative data on sexual function were collected and compared using an electronic pelvic floor assessment questionnaire (ePAQ). The incidence of sexual dysfunction and comparison of symptoms in both groups were calculated using the Mann–Whitney U test.ResultsThree hundred and forty-three women undergoing surgery for either SUI or POP were included. Patients were age-matched, with 184 undergoing SUI surgery (age range 33–77 years) and 159 POP surgery (age range 27–78 years; p = 0.869). The overall impact of POP and SUI was not significantly different in the two subgroups (p = 0.703). However, both patients (73 % vs 36 %; p = 0.00) and partners (50 % vs 24 %; p = 0.00) avoid intercourse significantly more frequently in cases with POP compared with SUI. This did not have a significant impact on quality of life.ConclusionsThe impact of bothersome SUI or POP on sexual function was found to be similar, but patient and partner avoidance in women with POP was greater than those with SUI.

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“…[ 19 ] Other studies have supported the findings of decreased coital pain by vaginal reconstruction. [ 20 21 ] A consensus in the literature seems to be reached among the physical factors of coital incontinence. Incontinence surgery, in patients with coital incontinence, significantly increases the postoperative sexual function scores.…”

Section: Discussionmentioning

confidence: 99%

The effect of stress incontinence operations on sexual functions: Laparoscopic burch versus transvaginal Tape-O

Gümüş

Kalem

et al. 2018

Gynecol Minim Invasive Ther

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Aim:Stress urinary incontinence (SUI) has some negative emotional and physical effects on sexual functions. In this study, we aimed to question the effects of surgical treatment of stress incontinence on sexual function using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) form.Materials and Methods:A total of 77 sexually active women who were surgically treated for SUI between 2014 and 2015 at a university hospital. Tension-free transvaginal tape (TVT-O) operation and the laparoscopic Burch procedure were performed on 42 and 35 patients, respectively. Patients with isolated stress incontinence were included in this study. All patients enrolled were invited to fill out the PISQ-12 questionnaire before surgery and 6 months after surgery.Results:The mean total postoperative PISQ-12 score in both TVT-O and Burch groups was significantly increased compared to the preoperative period (P < 0.001 and P < 0.001, respectively). When the PISQ-12 scores were evaluated according to the subgroups, physical and partner-dependent scores significantly increased in the postoperative period compared to the preoperative period in the TVT-O group (P < 0.001 and P = 0.004, respectively).Conclusions:Rate of the surgery success for SUI is positively correlated with the improvement of sexual functions. Minimally invasive methods in SUI surgery has been progressively increasing day-by-day. The lesser invasive approaches seem to replace the more invasive approaches in the near future.

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Sexual function in women after urinary incontinence and/or pelvic organ prolapse surgery

Abstract: It is important to provide counselling on potential development of postoperative sexual function and the possibility of impairment of sexual function for women undergoing UI and/or POP surgery.

Cited by 15 publications

References 60 publications

Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches

Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches

Prolapse or incontinence: what affects sexual function the most?

The effect of stress incontinence operations on sexual functions: Laparoscopic burch versus transvaginal Tape-O

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