Quality of life and sexuality after bilateral sacrospinous fixation with vaginal hysterectomy for treatment of primary pelvic organ prolapse

Objective To investigate the quality of life (QoL) and sexuality in women affected by pelvic organ prolapse (POP) and treated by bilateral sacrospinous ligament fixation (SSLF) with vaginal hysterectomy. Methods This is a prospective observational study carried out at Isparta City Hospital from July...

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Published in:Lower urinary tract symptoms 2020-09, Vol.12 (3), p.206-210
Main Authors: Yalcin, Yakup, Demir Caltekin, Melike, Eris Yalcin, Serenat
Format: Article
Language:English
Subjects:
Hysterectomy
Pelvic organ prolapse
Quality of life
sacrospinous ligament fixation
Sexuality
Surgery
Vagina
vaginal hysterectomy
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creator Yalcin, Yakup
Demir Caltekin, Melike
Eris Yalcin, Serenat
description Objective To investigate the quality of life (QoL) and sexuality in women affected by pelvic organ prolapse (POP) and treated by bilateral sacrospinous ligament fixation (SSLF) with vaginal hysterectomy. Methods This is a prospective observational study carried out at Isparta City Hospital from July 2017 to December 2018. A total of 26 sexually active women with symptomatic uterine prolapse POP‐Q (Pelvic Organ Prolapse Quantification) stage II or higher requiring surgery were included in the study. Short Form Health Survey (SF‐36) was used preoperatively and at 6 months to examine the impacts of vaginal reconstruction on QoL. To assess sexual functioning, the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12) was used preoperatively and at 6 months. Results A significant improvement of POP‐Q landmarks was found between pre‐ and posttreatment at 6 months of follow‐up. The patients reported QoL improvement at the follow‐up for all the categories of physical functioning, bodily pain, physical health, general health, vitality, social activity, emotional state, and mental health with respect to the baseline values (P 
doi_str_mv 10.1111/luts.12303
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Methods This is a prospective observational study carried out at Isparta City Hospital from July 2017 to December 2018. A total of 26 sexually active women with symptomatic uterine prolapse POP‐Q (Pelvic Organ Prolapse Quantification) stage II or higher requiring surgery were included in the study. Short Form Health Survey (SF‐36) was used preoperatively and at 6 months to examine the impacts of vaginal reconstruction on QoL. To assess sexual functioning, the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12) was used preoperatively and at 6 months. Results A significant improvement of POP‐Q landmarks was found between pre‐ and posttreatment at 6 months of follow‐up. The patients reported QoL improvement at the follow‐up for all the categories of physical functioning, bodily pain, physical health, general health, vitality, social activity, emotional state, and mental health with respect to the baseline values (P &lt; .001). The results of PISQ‐12 demonstrated a significant improvement for all the three fields: behavioral emotive factor, physical factor, and partner‐related factor, and the total score at 6 months after surgery (P &lt; .001). Conclusion This study clearly demonstrates that bilateral SSLF is able to significantly improve both QoL and sexual function in patients with POP. Improvement in sexuality and QoL after surgery may be explained by correction of avoidance of sexual intercourse due to prolapse and physical recovery.</description><identifier>ISSN: 1757-5664</identifier><identifier>EISSN: 1757-5672</identifier><identifier>DOI: 10.1111/luts.12303</identifier><identifier>PMID: 32003546</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Asia Pty Ltd</publisher><subject>Hysterectomy ; Pelvic organ prolapse ; Quality of life ; sacrospinous ligament fixation ; Sexuality ; Surgery ; Vagina ; vaginal hysterectomy</subject><ispartof>Lower urinary tract symptoms, 2020-09, Vol.12 (3), p.206-210</ispartof><rights>2020 John Wiley &amp; Sons Australia, Ltd</rights><rights>2020 John Wiley &amp; Sons Australia, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3573-b452ebafd8839e90539ee9acab8ef12a0fd1cd7f7bae81dfd619f4e8824b1ea13</citedby><cites>FETCH-LOGICAL-c3573-b452ebafd8839e90539ee9acab8ef12a0fd1cd7f7bae81dfd619f4e8824b1ea13</cites><orcidid>0000-0002-8826-6481</orcidid></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/32003546$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yalcin, Yakup</creatorcontrib><creatorcontrib>Demir Caltekin, Melike</creatorcontrib><creatorcontrib>Eris Yalcin, Serenat</creatorcontrib><title>Quality of life and sexuality after bilateral sacrospinous fixation with vaginal hysterectomy for treatment of primary pelvic organ prolapse</title><title>Lower urinary tract symptoms</title><addtitle>Low Urin Tract Symptoms</addtitle><description>Objective To investigate the quality of life (QoL) and sexuality in women affected by pelvic organ prolapse (POP) and treated by bilateral sacrospinous ligament fixation (SSLF) with vaginal hysterectomy. Methods This is a prospective observational study carried out at Isparta City Hospital from July 2017 to December 2018. A total of 26 sexually active women with symptomatic uterine prolapse POP‐Q (Pelvic Organ Prolapse Quantification) stage II or higher requiring surgery were included in the study. Short Form Health Survey (SF‐36) was used preoperatively and at 6 months to examine the impacts of vaginal reconstruction on QoL. To assess sexual functioning, the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12) was used preoperatively and at 6 months. Results A significant improvement of POP‐Q landmarks was found between pre‐ and posttreatment at 6 months of follow‐up. The patients reported QoL improvement at the follow‐up for all the categories of physical functioning, bodily pain, physical health, general health, vitality, social activity, emotional state, and mental health with respect to the baseline values (P &lt; .001). The results of PISQ‐12 demonstrated a significant improvement for all the three fields: behavioral emotive factor, physical factor, and partner‐related factor, and the total score at 6 months after surgery (P &lt; .001). Conclusion This study clearly demonstrates that bilateral SSLF is able to significantly improve both QoL and sexual function in patients with POP. 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Methods This is a prospective observational study carried out at Isparta City Hospital from July 2017 to December 2018. A total of 26 sexually active women with symptomatic uterine prolapse POP‐Q (Pelvic Organ Prolapse Quantification) stage II or higher requiring surgery were included in the study. Short Form Health Survey (SF‐36) was used preoperatively and at 6 months to examine the impacts of vaginal reconstruction on QoL. To assess sexual functioning, the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12) was used preoperatively and at 6 months. Results A significant improvement of POP‐Q landmarks was found between pre‐ and posttreatment at 6 months of follow‐up. The patients reported QoL improvement at the follow‐up for all the categories of physical functioning, bodily pain, physical health, general health, vitality, social activity, emotional state, and mental health with respect to the baseline values (P &lt; .001). The results of PISQ‐12 demonstrated a significant improvement for all the three fields: behavioral emotive factor, physical factor, and partner‐related factor, and the total score at 6 months after surgery (P &lt; .001). Conclusion This study clearly demonstrates that bilateral SSLF is able to significantly improve both QoL and sexual function in patients with POP. Improvement in sexuality and QoL after surgery may be explained by correction of avoidance of sexual intercourse due to prolapse and physical recovery.</abstract><cop>Australia</cop><pub>Blackwell Publishing Asia Pty Ltd</pub><pmid>32003546</pmid><doi>10.1111/luts.12303</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-8826-6481</orcidid></addata></record>
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subjects Hysterectomy
Pelvic organ prolapse
Quality of life
sacrospinous ligament fixation
Sexuality
Surgery
Vagina
vaginal hysterectomy
title Quality of life and sexuality after bilateral sacrospinous fixation with vaginal hysterectomy for treatment of primary pelvic organ prolapse
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