Sexual Function in Women With Pelvic Organ Prolapse Compared to Women Without Pelvic Organ Prolapse

Novi, Joseph M.; Jeronis, Stacey; Morgan, Mark A.; Arya, Lily A.

doi:10.1097/01.ju.0000154618.40300.c8

Cited by 97 publications

(65 citation statements)

References 11 publications

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“…As in our study, they did not find an association with orgasm incontinence and DOA. Their study was however much smaller (90 patients) and included patients with prolapse which may have influenced their results as prolapse can independently impact on sexual function [9,10]. Unlike our study, El Azab et al only asked about coital, penetration and orgasm incontinence rather than other parameters of sexual function.…”

Section: Discussionmentioning

confidence: 65%

Incontinence during intercourse: myths unravelled

2012

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Section: Discussionmentioning

confidence: 65%

Incontinence during intercourse: myths unravelled

2012

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“…A number of studies have demonstrated an association between pelvic floor disorders, including pelvic organ prolapse and urinary incontinence, and FSD [8][9][10][11]. A recent study of women over 40 seeking outpatient gynecology or urogynecology care found women with a higher burden of pelvic floor symptoms to be more likely to report infrequent orgasm, decreased arousal, and increased dyspareunia [11].…”

Section: Discussionmentioning

confidence: 99%

Female sexual dysfunction: are urogynecologists ready for it?

et al. 2008

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The aim of this study was to assess the practice of members of the British Society of Urogynaecology (BSUG) with respect to female sexual dysfunction (FSD) and compare it to members of the American Urogynecologic Society (AUGS). A web-based anonymous electronic questionnaire was sent to all (n = 150) BSUG members. Frequencies of responses and chi-square test for association with demographics were calculated. One hundred questionnaires were returned of which 95 were sufficiently filled. Fifty percent regularly screened for FSD at clinic visits and 49.5% after surgery, compared to 77% and 76% of AUGS members, respectively. The most important barrier was lack of time. Only 2% said FSD was not an important problem. Seventy-six percent found training for FSD unsatisfactory. FSD is not part of normal practice for half of BSUG members. There is, therefore, a need for better implementation of education and training at both undergraduate and postgraduate levels.

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“…Some studies suggest that pelvic organ prolapse may contribute to sexual dysfunction [2][3][4]. Relatively few studies have focused on sexual dysfunction after surgical repair of prolapse, particularly sexual function after the use of graft material.…”

Section: Introductionmentioning

confidence: 99%

Sexual function in women after rectocele repair with acellular porcine dermis graft vs site-specific rectovaginal fascia repair

et al. 2007

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The objective of the study was to compare preoperative and postoperative sexual function between women undergoing rectocele repair with porcine dermis graft and women undergoing site-specific repair of rectovaginal fascia. A standardized, validated questionnaire (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire [PISQ]) was used to collect preoperative sexual function data from 100 patients with rectocele pelvic organ prolapse quantification stage 2 or greater. Fifty women underwent rectocele repair utilizing porcine dermis graft (group 1) and 50 women underwent a site-specific repair of the rectovaginal fascia (group 2). The same questionnaire was administered to all subjects 6 months after surgery. The two groups were similar in age, race, parity, prior hysterectomy, and postmenopausal hormone use. Preoperative sexual function scores were similar in the two groups (group 1 81.4+/-7.3 and group 2: 83.6+/-8.2, p=1.0). Six months after surgery, PISQ scores in group 1 significantly increased (score increase 19.9+/-2.2, p=0.01). The mean increase in PISQ scores for group 2 was 6.9+/-3.1 (p=0.08). When compared with group 2, subjects undergoing rectocele repair with porcine dermis graft scored significantly higher on the PISQ 6 months after surgery (group 1 101.3+/-6.4 and group 2 89.7+/-7.1, p=0.01). We conclude that rectocele repair using porcine dermis graft is associated with improved sexual functioning when compared with site-specific rectovaginal fascia repair.

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Sexual Function in Women With Pelvic Organ Prolapse Compared to Women Without Pelvic Organ Prolapse

Abstract: Pelvic organ prolapse appears to have a significant negative impact on sexual function.

Cited by 97 publications

References 11 publications

Incontinence during intercourse: myths unravelled

Incontinence during intercourse: myths unravelled

Female sexual dysfunction: are urogynecologists ready for it?

Sexual function in women after rectocele repair with acellular porcine dermis graft vs site-specific rectovaginal fascia repair

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