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Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches
Introduction and hypothesis To examine changes in sexual function after abdominal and transvaginal pelvic organ prolapse repair. Methods Women enrolled in our prospective, longitudinal prolapse database with abdominal sacrocolpopexy (ASC) or transvaginal (TVR) pelvic organ prolapse (POP) repair with...
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| Published in: | International Urogynecology Journal 2016-12, Vol.27 (12), p.1919-1924 |
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| container_issue | 12 |
| container_start_page | 1919 |
| container_title | International Urogynecology Journal |
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| creator | Gupta, Priyanka Payne, James Killinger, Kim A. Ehlert, Michael Bartley, Jamie Gilleran, Jason Boura, Judy A. Sirls, Larry T. |
| description | Introduction and hypothesis
To examine changes in sexual function after abdominal and transvaginal pelvic organ prolapse repair.
Methods
Women enrolled in our prospective, longitudinal prolapse database with abdominal sacrocolpopexy (ASC) or transvaginal (TVR) pelvic organ prolapse (POP) repair with or without mesh, between 19 December 2008 through 4 June 2014. The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Pelvic Floor Distress Inventory (PFDI -20) were mailed preoperatively, and at 6 and 12 months postoperatively. Patients completed Global Response Assessments to rate their overall satisfaction.
Results
Two hundred and four of the 300 women met the inclusion criteria: 74 out of 204 (36 %) had ASC and 130 out of 204 (64 %) had TVR. Seventy-two out of seventy-four ASCs were performed robotically and 2 were open. Baseline demographics were similar except that the ASC patients were significantly younger (60 vs 63,
P
= 0.019) and had a higher rate of apical repair (77 % vs 55 %). Thirty-six out of seventy-four ASC (48.7 %) and 63 out of 128 TVR patients (49.2 %) were sexually active at baseline (
P
= 0.94). Sixteen out of thirty-eight ASC (42.1 %) and 18 out 63 TVR patients (28.6 %;
P
= 0.16) reported dyspareunia at baseline. Seventy-two out of seventy-four ASC (97 %) and 86 out of 130 TVR patients (66 %) had mesh-augmented repairs. There was no difference in sexual activity or dyspareunia between the groups at the 6- or 12-month follow-up. PISQ and PFDI scores improved significantly in both the ASC and TVR groups over time compared with the baseline (
p
|
| doi_str_mv | 10.1007/s00192-016-3066-9 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826703513</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1826703513</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-fe5df375f10979abdb985ccc41655b1d36215c342386b5793eec577d571e68233</originalsourceid><addsrcrecordid>eNp1kU2P1SAUhonRONcZf4AbQ-LGTfUABdrlZOJXMslsZtaE0tNeJi1UuJ2PxB8v9Y7GmLgCDs95D-Eh5A2DDwxAf8wArOUVMFUJUKpqn5Edq4UoJy6ekx20QleiVvyEvMr5FgBqkPCSnHAtagEN7MiP82Cnx-wzjQN1extGzNQHmvFhtRMd1uAOPoatdB9nDHQNPaYx-jDSBac772hMow10SXGyS0aacLE-0Xt_2FPb9XH2ZUKB6J0df23tUljr9pjPyIvBThlfP62n5Obzp-uLr9Xl1ZdvF-eXlROaH6oBZT8ILQcGrW5LZtc20jlXMyVlx3qhOJNO1Fw0qpO6FYhOat1LzVA1XIhT8v6YWwZ_XzEfzOyzw2myAeOaDWu40iAk29B3_6C3cU3l2RtVl1-TteSFYkfKpZhzwsEsyc82PRoGZlNjjmpMUWM2NaYtPW-fktduxv5Px28XBeBHIJer4iH9Nfq_qT8BmDiZ_w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1843435452</pqid></control><display><type>article</type><title>Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches</title><source>Springer Nature</source><creator>Gupta, Priyanka ; Payne, James ; Killinger, Kim A. ; Ehlert, Michael ; Bartley, Jamie ; Gilleran, Jason ; Boura, Judy A. ; Sirls, Larry T.</creator><creatorcontrib>Gupta, Priyanka ; Payne, James ; Killinger, Kim A. ; Ehlert, Michael ; Bartley, Jamie ; Gilleran, Jason ; Boura, Judy A. ; Sirls, Larry T.</creatorcontrib><description>Introduction and hypothesis
To examine changes in sexual function after abdominal and transvaginal pelvic organ prolapse repair.
Methods
Women enrolled in our prospective, longitudinal prolapse database with abdominal sacrocolpopexy (ASC) or transvaginal (TVR) pelvic organ prolapse (POP) repair with or without mesh, between 19 December 2008 through 4 June 2014. The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Pelvic Floor Distress Inventory (PFDI -20) were mailed preoperatively, and at 6 and 12 months postoperatively. Patients completed Global Response Assessments to rate their overall satisfaction.
Results
Two hundred and four of the 300 women met the inclusion criteria: 74 out of 204 (36 %) had ASC and 130 out of 204 (64 %) had TVR. Seventy-two out of seventy-four ASCs were performed robotically and 2 were open. Baseline demographics were similar except that the ASC patients were significantly younger (60 vs 63,
P
= 0.019) and had a higher rate of apical repair (77 % vs 55 %). Thirty-six out of seventy-four ASC (48.7 %) and 63 out of 128 TVR patients (49.2 %) were sexually active at baseline (
P
= 0.94). Sixteen out of thirty-eight ASC (42.1 %) and 18 out 63 TVR patients (28.6 %;
P
= 0.16) reported dyspareunia at baseline. Seventy-two out of seventy-four ASC (97 %) and 86 out of 130 TVR patients (66 %) had mesh-augmented repairs. There was no difference in sexual activity or dyspareunia between the groups at the 6- or 12-month follow-up. PISQ and PFDI scores improved significantly in both the ASC and TVR groups over time compared with the baseline (
p
< 0.0001). Most women in the ASC (77.5 %) and TVR (64.8 %) groups were satisfied with the results of prolapse surgery at 12 months.
Conclusions
Sexual function and pelvic floor symptoms improved in a similar manner in patients after abdominal and transvaginal POP surgery.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-016-3066-9</identifier><identifier>PMID: 27343080</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Aged ; Female ; Gynecologic Surgical Procedures - statistics & numerical data ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pelvic Organ Prolapse - surgery ; Prospective Studies ; Sexual Behavior - physiology ; Treatment Outcome ; Urology</subject><ispartof>International Urogynecology Journal, 2016-12, Vol.27 (12), p.1919-1924</ispartof><rights>The International Urogynecological Association 2016</rights><rights>International Urogynecology Journal is a copyright of Springer, 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-fe5df375f10979abdb985ccc41655b1d36215c342386b5793eec577d571e68233</citedby><cites>FETCH-LOGICAL-c372t-fe5df375f10979abdb985ccc41655b1d36215c342386b5793eec577d571e68233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27343080$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gupta, Priyanka</creatorcontrib><creatorcontrib>Payne, James</creatorcontrib><creatorcontrib>Killinger, Kim A.</creatorcontrib><creatorcontrib>Ehlert, Michael</creatorcontrib><creatorcontrib>Bartley, Jamie</creatorcontrib><creatorcontrib>Gilleran, Jason</creatorcontrib><creatorcontrib>Boura, Judy A.</creatorcontrib><creatorcontrib>Sirls, Larry T.</creatorcontrib><title>Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
To examine changes in sexual function after abdominal and transvaginal pelvic organ prolapse repair.
Methods
Women enrolled in our prospective, longitudinal prolapse database with abdominal sacrocolpopexy (ASC) or transvaginal (TVR) pelvic organ prolapse (POP) repair with or without mesh, between 19 December 2008 through 4 June 2014. The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Pelvic Floor Distress Inventory (PFDI -20) were mailed preoperatively, and at 6 and 12 months postoperatively. Patients completed Global Response Assessments to rate their overall satisfaction.
Results
Two hundred and four of the 300 women met the inclusion criteria: 74 out of 204 (36 %) had ASC and 130 out of 204 (64 %) had TVR. Seventy-two out of seventy-four ASCs were performed robotically and 2 were open. Baseline demographics were similar except that the ASC patients were significantly younger (60 vs 63,
P
= 0.019) and had a higher rate of apical repair (77 % vs 55 %). Thirty-six out of seventy-four ASC (48.7 %) and 63 out of 128 TVR patients (49.2 %) were sexually active at baseline (
P
= 0.94). Sixteen out of thirty-eight ASC (42.1 %) and 18 out 63 TVR patients (28.6 %;
P
= 0.16) reported dyspareunia at baseline. Seventy-two out of seventy-four ASC (97 %) and 86 out of 130 TVR patients (66 %) had mesh-augmented repairs. There was no difference in sexual activity or dyspareunia between the groups at the 6- or 12-month follow-up. PISQ and PFDI scores improved significantly in both the ASC and TVR groups over time compared with the baseline (
p
< 0.0001). Most women in the ASC (77.5 %) and TVR (64.8 %) groups were satisfied with the results of prolapse surgery at 12 months.
Conclusions
Sexual function and pelvic floor symptoms improved in a similar manner in patients after abdominal and transvaginal POP surgery.</description><subject>Aged</subject><subject>Female</subject><subject>Gynecologic Surgical Procedures - statistics & numerical data</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pelvic Organ Prolapse - surgery</subject><subject>Prospective Studies</subject><subject>Sexual Behavior - physiology</subject><subject>Treatment Outcome</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1kU2P1SAUhonRONcZf4AbQ-LGTfUABdrlZOJXMslsZtaE0tNeJi1UuJ2PxB8v9Y7GmLgCDs95D-Eh5A2DDwxAf8wArOUVMFUJUKpqn5Edq4UoJy6ekx20QleiVvyEvMr5FgBqkPCSnHAtagEN7MiP82Cnx-wzjQN1extGzNQHmvFhtRMd1uAOPoatdB9nDHQNPaYx-jDSBac772hMow10SXGyS0aacLE-0Xt_2FPb9XH2ZUKB6J0df23tUljr9pjPyIvBThlfP62n5Obzp-uLr9Xl1ZdvF-eXlROaH6oBZT8ILQcGrW5LZtc20jlXMyVlx3qhOJNO1Fw0qpO6FYhOat1LzVA1XIhT8v6YWwZ_XzEfzOyzw2myAeOaDWu40iAk29B3_6C3cU3l2RtVl1-TteSFYkfKpZhzwsEsyc82PRoGZlNjjmpMUWM2NaYtPW-fktduxv5Px28XBeBHIJer4iH9Nfq_qT8BmDiZ_w</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Gupta, Priyanka</creator><creator>Payne, James</creator><creator>Killinger, Kim A.</creator><creator>Ehlert, Michael</creator><creator>Bartley, Jamie</creator><creator>Gilleran, Jason</creator><creator>Boura, Judy A.</creator><creator>Sirls, Larry T.</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20161201</creationdate><title>Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches</title><author>Gupta, Priyanka ; Payne, James ; Killinger, Kim A. ; Ehlert, Michael ; Bartley, Jamie ; Gilleran, Jason ; Boura, Judy A. ; Sirls, Larry T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-fe5df375f10979abdb985ccc41655b1d36215c342386b5793eec577d571e68233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Female</topic><topic>Gynecologic Surgical Procedures - statistics & numerical data</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pelvic Organ Prolapse - surgery</topic><topic>Prospective Studies</topic><topic>Sexual Behavior - physiology</topic><topic>Treatment Outcome</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, Priyanka</creatorcontrib><creatorcontrib>Payne, James</creatorcontrib><creatorcontrib>Killinger, Kim A.</creatorcontrib><creatorcontrib>Ehlert, Michael</creatorcontrib><creatorcontrib>Bartley, Jamie</creatorcontrib><creatorcontrib>Gilleran, Jason</creatorcontrib><creatorcontrib>Boura, Judy A.</creatorcontrib><creatorcontrib>Sirls, Larry T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gupta, Priyanka</au><au>Payne, James</au><au>Killinger, Kim A.</au><au>Ehlert, Michael</au><au>Bartley, Jamie</au><au>Gilleran, Jason</au><au>Boura, Judy A.</au><au>Sirls, Larry T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>27</volume><issue>12</issue><spage>1919</spage><epage>1924</epage><pages>1919-1924</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
To examine changes in sexual function after abdominal and transvaginal pelvic organ prolapse repair.
Methods
Women enrolled in our prospective, longitudinal prolapse database with abdominal sacrocolpopexy (ASC) or transvaginal (TVR) pelvic organ prolapse (POP) repair with or without mesh, between 19 December 2008 through 4 June 2014. The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Pelvic Floor Distress Inventory (PFDI -20) were mailed preoperatively, and at 6 and 12 months postoperatively. Patients completed Global Response Assessments to rate their overall satisfaction.
Results
Two hundred and four of the 300 women met the inclusion criteria: 74 out of 204 (36 %) had ASC and 130 out of 204 (64 %) had TVR. Seventy-two out of seventy-four ASCs were performed robotically and 2 were open. Baseline demographics were similar except that the ASC patients were significantly younger (60 vs 63,
P
= 0.019) and had a higher rate of apical repair (77 % vs 55 %). Thirty-six out of seventy-four ASC (48.7 %) and 63 out of 128 TVR patients (49.2 %) were sexually active at baseline (
P
= 0.94). Sixteen out of thirty-eight ASC (42.1 %) and 18 out 63 TVR patients (28.6 %;
P
= 0.16) reported dyspareunia at baseline. Seventy-two out of seventy-four ASC (97 %) and 86 out of 130 TVR patients (66 %) had mesh-augmented repairs. There was no difference in sexual activity or dyspareunia between the groups at the 6- or 12-month follow-up. PISQ and PFDI scores improved significantly in both the ASC and TVR groups over time compared with the baseline (
p
< 0.0001). Most women in the ASC (77.5 %) and TVR (64.8 %) groups were satisfied with the results of prolapse surgery at 12 months.
Conclusions
Sexual function and pelvic floor symptoms improved in a similar manner in patients after abdominal and transvaginal POP surgery.</abstract><cop>London</cop><pub>Springer London</pub><pmid>27343080</pmid><doi>10.1007/s00192-016-3066-9</doi><tpages>6</tpages></addata></record> |
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| language | eng |
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| source | Springer Nature |
| subjects | Aged Female Gynecologic Surgical Procedures - statistics & numerical data Gynecology Humans Medicine Medicine & Public Health Middle Aged Original Article Pelvic Organ Prolapse - surgery Prospective Studies Sexual Behavior - physiology Treatment Outcome Urology |
| title | Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches |
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