Short term impact on female sexual function of pelvic floor reconstruction with the prolift procedure

Tsung Hsien Su, Hui Hsuan Lau, Wen Chu Huang, Shwu Shiuang Chen, Tzu Yin Lin, Ching Hung Hsieh, Ching Ying Yeh

Research output: Contribution to journalArticlepeer-review

35 Citations (Scopus)

Abstract

Introduction. The Prolift system is an effective and safe procedure using mesh reinforcement for vaginal reconstruction of pelvic organ prolapse (POP), but its effect on sexual function is unclear. Aim. To evaluate the impact of transvaginal pelvic reconstruction with Prolift on female sexual function at 6 months post-operatively. Methods. Thirty-three sexually active women who underwent Prolift mesh pelvic floor reconstruction for symptomatic POP were evaluated before and 6 months after surgery. Their sexual function was assessed by using the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) before and after surgery. The quality of life was also evaluated with the short forms of the Urogenital Distress Inventory (UDI-6) and the Incontinence Impact Questionnaire (IIQ-7) as a control for efficacy of the procedure. The Pelvic Organ Prolapse Quantification system was used to evaluate the degree of prolapse. Main Outcome Measures. PISQ-12 scores at 6 months post-operatively. Results. The total PISQ-12 score decreased from 29.5 ± 9.0 to 19.3 ± 14.7 (P <0.001), indicating worsening of sexual function 6 months post-operatively. The behavioral, physical, and partner-related domains of PISQ-12 were each significantly reduced (5.2 ± 3.7 vs. 2.9 ± 3.7, P = 0.016; 15.4 ± 4.7 vs. 10.4 ± 8.6, P = 0.001; 8.9 ± 3.8 vs. 6.4 ± 5.5, P = 0.01, respectively). UDI-6 and IIQ-7 scores were significantly improved at the 6-month follow-up, as was anatomic recovery. Of the 33 subjects, 24 (73%) had worse sexual function 6 months after the procedure. Conclusion. The Prolift procedure provided an effective anatomic cure of POP, but it had an adverse effect on sexual function at 6 months after surgery. 2009 International Society for Sexual Medicine.

Original languageEnglish
Pages (from-to)3201-3207
Number of pages7
JournalJournal of Sexual Medicine
Volume6
Issue number11
DOIs
Publication statusPublished - Nov 2009

Keywords

  • Incontinence
  • Prolift
  • Quality of life
  • Sexual function
  • Urogenital surgical procedures
  • Uterine prolapse

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynaecology
  • Reproductive Medicine

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