The negative effect urinary incontinence has on sexual function has been noted previously, 4 , 14 but reported effects of surgical repair of incontinence have varied. We hypothesize that the positive effect of surgery on incontinence and prolapse may overshadow the smaller, potentially detrimental affects of PR. We also controlled for confounders of the total PISQ scores using logistic regression.
We were not able, however, to control for confounders in our analysis of individual questions. All patients underwent a standard physical examination that included pelvic organ prolapse quantification POP-Q Finally, there is a potential for selection bias in our population, because this is a secondary analysis of sexual function in women who participated in a randomized controlled trial. The preoperative assessments were conducted by one investigator. The examination included POP-Q in the gynecological position with an empty bladder. Sexual function and vaginal anatomy in women before and after surgery for pelvic organ prolapse and urinary incontinence. The increase in vaginal tightness may have been due to synergism between multiple procedures, 6 the performance of perineorrhaphy, or psychologic factors such as apprehension. There were no differences between the two groups at the month follow-up. We used clinical patterns to evaluate menopausal status; namely, women who reported current and regular periods were defined as premenopausal, while women who reported more than 12 months of amenorrhea were defined as postmenopausal. Higher scores indicate better sexual function. Although authors have equated the presence of pain with sexual dysfunction, overall sexual function seems to be more complex than this. Br J Obstetrics and Gynaecology. Glavind K, Tetsche MS. Despite the postoperative difference in pain with intercourse that was found between these 2 groups, improvement in total PISQ scores was similar. Dyspareunia following vaginal operations. Thus, the interpretation of individual questions must be tempered by the unknown effects of possible confounding variables. A Valsalva maneuver or cough demonstrated the maximum descent of the involved pelvic organ. The postoperative follow-ups were performed by three investigators who were also blinded to the group assignments. The FSFI is a comprehensive, item tool that assesses six domains of sexual function, namely desire, arousal, lubrication, orgasm, satisfaction, and pain. In the evaluation of questions with a Likert scale, the choice of a cut-point can affect outcomes. We also chose an inclusive definition that was sensitive to the detection of negative sexual function outcomes. The FSFI is used to investigate problems with sexual function in the previous four weeks. Sexual function, like many other quality of life issues, is multifactorial. The impact of urodynamic stress incontinence and detrusor overactivity on marital relationship and sexual function. A multicenter prospective study. A limitation of our study was that the performance of PR was not standardized, nor was perineorrhaphy performance specifically recorded. However, no differences were observed between the two techniques.
Video about sex after anterior and posterior repair:
Vaginal prolapse Surgery of posterior wall 3D
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