Evaluating sexual function among women after recurrent pelvic organ prolapse transvaginal mesh repair

Authors

TVAROŽEK Samuel HUSER Martin DOSTÁLOVÁ Martina SZYPULOVÁ Martina HORVÁTH Ivan

Year of publication 2022
Type Article in Periodical
Magazine / Source Journal of Obstetrics and Gynaecology
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.tandfonline.com/doi/full/10.1080/01443615.2022.2153023
Doi http://dx.doi.org/10.1080/01443615.2022.2153023
Keywords Pelvic organ prolapse; sexual function; transvaginal mesh implant
Attached files
Description We aimed to evaluate women’s sexual function before and after pelvic organ prolapse (POP) surgery utilising light transvaginal mesh after a prior hysterectomy. Only sexually active women with recurrent cystocele stage 3–4 according to POP-Q, who had previously undergone vaginal hysterectomy with anterior native tissue repair without apical fixation, were enrolled in the study. Women with previous mesh implant POP surgery, persistent vaginal infection or pelvic inflammatory disease were excluded. All patients were surgically treated between 2012 and 2015 using single-incision transvaginal mesh Calistar A. Sexual function was evaluated before a surgery and two years postoperatively. The assessment was accomplished via the standardised validated Czech translation of PISQ-12SF questionnaire. For each patient, age, BMI and parity were monitored. Out of all (89) eligible patients, 48 patients met inclusion criteria and were subsequently enrolled in our study. Two years postoperatively, 31 women (79.5%) improved their PISQ-12 score; five (12.8%) had equivalent scores, and three patients (7.7%) reported lower scores. Overall PISQ-12 score was 37.1?±?2.6 postoperatively with a 2.9?±?2.3 statistically significant positive difference compared to the score preceding surgery. The majority of patients undergoing surgery using Calistar A experienced a significant improvement in sexual function.

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