| Autor: |
Lukacz, Emily S., Sridhar, Amaanti, Chermansky, Christopher J., Rahn, David D., Harvie, Heidi S., Gantz, Marie G., Varner, R. Edward, Korbly, Nicole B., Mazloomdoost, Donna |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Obstet Gynecol |
| Popis: |
OBJECTIVE: To describe sexual activity and risks for dyspareunia after pelvic organ prolapse surgery. METHODS: This was a secondary analysis of data from four randomized trials conducted between 2002 and 2018. Standard assessments and validated measures of sexual function were assessed at baseline and 12-months postoperatively. Anterior apical surgeries were grouped by approach: transvaginal native tissue repairs, transvaginal mesh or graft-augmented repairs, and abdominal sacrocolpopexy. Additional surgeries including posterior repair, hysterectomy and slings were analyzed. Bivariate analyses and logistic regression models identified risk factors for postoperative dyspareunia. RESULTS: Of the 1,337 women enrolled in the trials, 932 had sufficient outcome data to determine dyspareunia status. Of these prior to surgery, 445 (47.8%) were sexually active without dyspareunia, 89 (9.6%) were sexually active with dyspareunia, 93 (10.0%) were not sexually active due to fear of dyspareunia, and 305 (32.7%) were not sexually active for other reasons. At 12 months, dyspareunia or fear of dyspareunia was present in 63/627 (10.0%); occurred de novo in 17/445 (3.8%) and resolved in 136/182 (74.7%). Multivariable regression demonstrated baseline dyspareunia as the only factor associated with postoperative dyspareunia (adjusted odds ratio 7.8, 95% CI 4.2 – 14.4). No other factors, including surgical approach, were significantly associated with postoperative dyspareunia. Too few had de novo dyspareunia to perform modeling. CONCLUSIONS: Dyspareunia is common in 1 in 5 women prior to undergoing prolapse surgery. Surgical repair resolves dyspareunia in 3 out of 4 women with low rates of de novo dyspareunia at |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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