Pelvic Organ Prolapse and Its Effects on Sexual Life

Changes of the quality of sexual life following pelvic organ prolapse surgery

Česká gynekologie ◽

10.48095/cccg2021167 ◽

2021 ◽

Vol 86 (3) ◽

pp. 167-174

Author(s):

Vladimír Velický ◽

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Pelvic Organ Prolapse ◽

Pelvic Organ ◽

Prolapse Surgery ◽

Sexual Life ◽

Advanced Stage ◽

Sexually Active ◽

Middle Compartment

Summary Objective: The aim of the study was to determine the percentage of sexually active women with a higher degree of descent in the anterior and middle compartment (in one compartment at least ≥ III degree) and how the surgical solution affects the quality of sexual life and overall quality of life in women who underwent surgery. Methods: Patients who underwent prolapse surgery were included in the study. Before the operation, a complete urogynecological examination was performed, including ultrasound examination, history and POP-Q (pelvic organ prolapse quantification system) evaluation, and quality of life questionnaires were completed. We compared the quality of sexual life in sexually active women before and after surgery to ascertain the effect of surgery in this respect. Results: The study included 128 patients who underwent pelvic organ descent surgery from January 2018 to April 2019. Depending on the type of operation, they were divided into three groups: reconstruction with anterior vaginal implant fixed to the sacrospinous ligament, laparoscopic sacrocolpopexy and sacrospinous vaginofixation according to Amreich-Richter. The differences between the groups in the results of the surgical solution were not statistically significant due to the size of the monitored group. Sexual activity of the patients even in the advanced stage of pelvic organ setup was reported preoperatively by 45.9% of women and postoperatively – after 1 year – by 44.8% of women. Comparing the quality of life preoperatively and postoperatively, there was a very significant improvement in 58.0% of respondents, a significant improvement in 36.0% and a slight improvement in 2.0%: only in 3.0% of women, there was a deterioration (ranging from mild to very significant). Surgical treatment of the descent slightly worsened the quality of sexual life in 20.8% of women, did not change it in 33.3% and significantly improved it in 45.8% of them. Conclusion: A high percentage of patients are sexually active even at an advanced stage of descent. Comparing the quality of life preoperatively and postoperatively, there was a significant improvement or even complete resolution of the problems associated with descent in most women. For some women, the surgical treatment of the descent may slightly worsen the quality of sexual life; in others, its quality remains at the same level, but the largest section of the studied group feels a significant improvement in the perception of sexual activities.

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Impact of Surgery on Quality of Life of Ugandan Women With Symptomatic Pelvic Organ Prolapse: A Prospective Cohort Study

10.21203/rs.3.rs-343201/v1 ◽

2021 ◽

Author(s):

Musa Kayondo ◽

Dan Kabonge Kaye ◽

Richard Migisha ◽

Rodgers Tugume ◽

Paul Kalyebara Kato ◽

...

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Pelvic Organ Prolapse ◽

Sleep Quality ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Pelvic Organ ◽

Sexual Life ◽

Life Questionnaire

Abstract Background: Pelvic Organ Prolapse (POP) is a significant public health issue that negatively affects the Quality of Life (QOL) of women in both low- and high-income countries. About 20% of women will undergo surgery for POP over their lifetime. However, there is a paucity of information on the effect of surgery on QOL especially in resource limited settings. We therefore sought to determine the QOL among women with symptomatic POP living in rural southwestern Uganda and the impact of surgery on their quality of life.Methods: We conducted a prospective cohort study among 120 women with symptomatic POP awaiting surgery at the urogynecology unit of Mbarara Regional Referral Hospital. The QOL at baseline and at 1 year after surgery in the domains of physical performance, social interaction, emotion state, sexual life, sleep quality, personal hygiene and urinary bladder function was determined using a King’s Quality of Life questionnaire. A paired t- test was used to compare the difference in mean scores at baseline and at 1-year post-surgery. Results: Of the 120 participants that were enrolled at baseline, 117(98%) completed the follow-up at 1 year. The baseline QOL was poor. The domains with the poorest QOL were physical, social, sexual, emotional and sleep quality. The mean QOL scores in all the domains and the overall QOL significantly improved 1 year after surgery (p<0.001). The overall QOL improved by 38.9% after surgery (p < 0.001).Conclusion: The QOL was poor among women with symptomatic POP and surgery improved the QOL in all the domains of life. We recommend that surgery as an option for treatment of symptomatic POP should be scaled up to improve on the QOL of these women.

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Reliability of the Polish Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) and Assessment of Sexual Function before and after Pelvic Organ Prolapse Reconstructive Surgery—A Prospective Study

Journal of Clinical Medicine ◽

10.3390/jcm10184167 ◽

2021 ◽

Vol 10 (18) ◽

pp. 4167

Author(s):

Aleksandra Kamińska ◽

Katarzyna Skorupska ◽

Agnieszka Kubik-Komar ◽

Konrad Futyma ◽

Joanna Filipczak ◽

...

Keyword(s):

Pelvic Organ Prolapse ◽

Sexual Function ◽

Reconstructive Surgery ◽

Menopausal Status ◽

Intraclass Correlation ◽

Depression Scale ◽

Pelvic Organ ◽

Sexual Life ◽

Before And After ◽

A Prospective Study

It is estimated that 31–44% of all patients with symptomatic POP and/or UI suffer from sexual dysfunction. We aimed to validate the PISQ-12 in pre-and postmenopausal women and to assess the sexual function before and after POP reconstructive surgery. One hundred and forty sexually active patients were hospitalized due to symptomatic POP and 50 healthy controls were enrolled into the study. The patients were asked to complete PISQ-12, the FSFI and Beck’s depression scale questionnaires twice. The Cronbach’s alpha (α) was used to estimate the internal consistency. The scores were compared using the Intraclass Correlation Coefficient (ICC). Improvement in the QoSL (quality of sexual life) was observed in each age group of women. Pre-menopausal patients’ QoSL was much better, both before and after surgery (29.62 and 34.64 points, respectively). The correlation between questionnaires before surgery was 0.63, and after was −0.76. The α value for the PISQ-12 was 0.83 before the procedure and 0.80 afterwards. In all the groups, the test–retest reliability was good—ICC = 0.72. Vaginal reconstructive surgeries improve the QoSL. The only demographic factor influencing the QoSL was the menopausal status. The Polish version of the PISQ-12 is a reliable and responsive instrument for assessing the sexual function in patients with diagnosed POP and/or UI.

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Pelvic organ prolapse in women: what are the patient expectations of the prospective treatment?

Journal of obstetrics and women s diseases ◽

10.17816/jowd66440-45 ◽

2017 ◽

Vol 66 (4) ◽

pp. 40-45 ◽

Cited By ~ 1

Author(s):

Mikhail Yu. Korshunov

Keyword(s):

Urinary Incontinence ◽

Surgical Treatment ◽

Pelvic Organ Prolapse ◽

Pelvic Organ ◽

Vaginal Wall ◽

Sexual Life ◽

Treatment Goals ◽

Verbal Reports ◽

Personalized Approach

Background. Personalized approach to the issue of pelvic organ prolapse in women assumes a detailed analysis of the patient’s expectations from the surgical treatment ahead. Aim: detailing the treatment goals for patients with POP. Materials and methods: Four hundred eighty six patients (mean age 54.3 ± 9.5 years) participated in a survey designed based on content from verbal reports of women with POP seeking medical help. Results: Out of 9 presented options patients indicated 2–7 treatment goals. The most frequently specified main goals of the treatment were: cure of urinary incontinence (48.6%), correction of vaginal wall prolapse (27.1%), and improvement of quality of sexual life (10.3%). Conclusion. Patients with POP indicate numerous objectives of surgical treatment. Treatment of urinary incontinence is the most frequently sought out main goal.

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Impact of surgery on quality of life of Ugandan women with symptomatic pelvic organ prolapse: a prospective cohort study

BMC Women s Health ◽

10.1186/s12905-021-01397-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Musa Kayondo ◽

Dan Kabonge Kaye ◽

Richard Migisha ◽

Rodgers Tugume ◽

Paul Kalyebara Kato ◽

...

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Pelvic Organ Prolapse ◽

Sleep Quality ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Pelvic Organ ◽

Sexual Life ◽

Life Questionnaire

Abstract Background Pelvic organ prolapse (POP) is a significant public health issue that negatively affects the Quality of Life (QOL) of women in both low and high-income countries. About 20% of women will undergo surgery for POP over their lifetime. However, there is a paucity of information on the effect of surgery on QOL especially in resource-limited settings. We therefore assessed the QOL among women with symptomatic POP living in rural southwestern Uganda and the impact of surgery on their quality of life. Methods We conducted a prospective cohort study among 120 women with symptomatic POP scheduled for surgery at the urogynecology unit of Mbarara Regional Referral Hospital. The QOL at baseline and at 1 year after surgery in the domains of physical performance, social interaction, emotional state, sexual life, sleep quality, personal hygiene and urinary bladder function was determined using a King’s Quality of Life questionnaire. A paired t-test was used to compare the difference in mean scores at baseline and at 1-year post-surgery. Results Of the 120 participants that were enrolled at baseline, 117(98%) completed the follow-up period of 1 year. The baseline QOL was poor. The domains with the poorest QOL were physical, social, sexual, emotional and sleep quality. The mean QOL scores in all the domains and the overall QOL significantly improved 1 year after surgery (p < 0.001). The overall QOL improved by 38.9% after surgery (p < 0.001). Conclusions The QOL was poor among women with symptomatic POP and surgery improved the QOL in all the domains of life. We recommend that surgery as an option for treatment of symptomatic POP should be scaled up to improve on the QOL of these women.

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Vaginal length after a laparoscopic sacropexy

Urogynaecologia ◽

10.4081/uij.2019.226 ◽

2019 ◽

Vol 31 (1) ◽

Author(s):

Kristina Drusany Starič ◽

Adolf Lukanović ◽

Matija Barbič ◽

Mija Blaganje ◽

Adriana Cvijić ◽

...

Keyword(s):

Pelvic Organ Prolapse ◽

Genital Prolapse ◽

Well Being ◽

Pelvic Organ ◽

Sexual Life ◽

Control Group ◽

High Grade ◽

Vaginal Length ◽

Significant Difference ◽

Laparoscopic Sacropexy

Vaginal shortening after surgical treatment of pelvic organ prolapse is associated with dyspareunia, which negatively affects women’s sexual life as well as their psychosocial well-being. The aim of the study is to determine the vaginal length in women with high-grade pelvic organ prolapse treated with laparoscopic sacropexy. In the prospective study we included 22 women with high-grade prolapse of the uterus or vagina that were treated. They underwent a gynaecological examination with a measurement of the vaginal length, as well as the evaluation of the degree of prolapse prior to the procedure (laparoscopic sacropexy). The second measurement and evaluation of the vaginal length during the follow-up examination between 6 to 12 weeks after surgery was done. The control group included 23 healthy women, without genital prolapse. There was no statistically significant difference in the mean vaginal length before and after surgery in the group of treated women.

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VOLUNTARY SURGICAL CONTRACEPTION OF WOMEN OF LATE REPRODUCTIVE AGE SUFFERING FROM PELVIC ORGAN PROLAPSE – FEATURES AND BENEFITS

European Medical Health and Pharmaceutical Journal ◽

10.12955/emhpj.v8i1.529 ◽

2015 ◽

Vol 8 (1) ◽

Author(s):

Nigina Nasimova

Keyword(s):

Surgical Treatment ◽

Pelvic Organ Prolapse ◽

Abdominal Cavity ◽

Genital Prolapse ◽

Pelvic Organ ◽

Reproductive Age ◽

Sexual Life ◽

Long Term Results ◽

Fallopian Tubes

In recent years there has been a noticeable "rejuvenation" of pelvic organ prolapse. Inconsistency of the pelvic floor muscles, including the omission of sexual organs, is extremely common pathology, observed almost a third of women of reproductive age. The search for effective, convenient methods of contraception for this category of patients is an important problem of modern gynecology.We proposed a method of transvaginal voluntary surgical contraception, produced in conjunction with surgical treatment of descent and prolapse of the vaginal walls. Studied the nearest and long-term results of surgery in 50 women to which, during the surgical treatment of genital prolapse at the same time was performed transvaginal occlusion of the fallopian tubes. Control groups consisted of 30 women to which in the first step before surgical correction of pelvic organ prolapse have been performed minilaparotomy and voluntary surgical sterilization (VSS). Our method consists in penetrating into the abdominal cavity through the anterior vaginal vault, downgrading the fallopian tubes with a hook of Ramathibodi and tubal sterilization by Pomeroy method. Intra - and postoperative complications were not observed. In the late postoperative periods - the effectiveness of the method was 100%. Marked tendency to improve the quality of sexual life tells about the positive impact of elimination of genital prolapse with simultaneous DCA on the quality of life of women.

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