Women's quality of life and sexual function after transvaginal anterior repair with mesh insertion
| Autor: | Kamil Svabik, Tomas Koleska, Petr Hubka, Rachid El Haddad, Jaromir Masata, Alois Martan |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Sexual Behavior Urinary system Urinary incontinence Pelvic Organ Prolapse Prosthesis Implantation Quality of life Surveys and Questionnaires medicine Humans Postoperative Period Prospective Studies Prospective cohort study Aged Suburethral Slings business.industry Incidence (epidemiology) Obstetrics and Gynecology Anterior repair Middle Aged Surgical Mesh Surgery Distress Dyspareunia Reproductive Medicine Preoperative Period Quality of Life Female medicine.symptom business Sexual function |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 167:110-113 |
| ISSN: | 0301-2115 |
| DOI: | 10.1016/j.ejogrb.2012.11.005 |
| Popis: | Objective Current evidence about the impact of pelvic floor surgery on sexual function is conflicting. Only a few studies have reported with validated questionnaires on sexual function after transvaginal mesh repair, with a discrepancy in reported outcomes. The aim of this study was to prospectively explore the impact of anterior repair (AR) with mesh insertion on sexual function, quality of life and dyspareunia. Study design 69 women with symptomatic stage II or greater prolapse exclusively of the anterior compartment participated in a prospective study on safety and efficacy of two mesh implantation techniques for anterior vaginal wall prolapse repair between September 2007 and May 2009. They were invited to complete the validated condition-specific short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) and quality of life (QoL) questionnaires (Pelvic Organ Prolapse (POP) Distress Inventory (POPDI), Urinary Distress Inventory (UDI), POP Impact Questionnaire (POPIQ), and Urinary Impact Questionnaire (UIQ)) pre-operatively and 6 months post-operatively. All data were processed and analyzed in Statistical Computing Environment R, version 2.9.1. Results A significant decrease of Qol scores and a significant increase of PISQ-12 scores occurred after surgery. All sexually active women resumed sexual activity postoperatively. The majority of non-sexually active women remained sexually inactive. Postoperatively the frequency of pain during intercourse increased in 31% of cases and decreased or stayed unchanged in 69% of cases. The incidence of de novo dyspareunia after mesh repair was 4% while the incidence of dyspareunia slightly increased from 25% to 29% postoperatively. Conclusions The results of this study suggest no deterioration in sexual function, a significant improvement in quality of life and a low incidence of de novo dyspareunia six months after AR with mesh insertion. Despite these findings, the majority of non-sexually active women remain sexually inactive postoperatively. These conclusions should be confirmed in a longer follow-up. |
| Databáze: | OpenAIRE |
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