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



Rok publikování 2023
Druh Článek v odborném periodiku
Časopis / Zdroj Journal of Obstetrics and Gynaecology
Fakulta / Pracoviště MU

Lékařská fakulta

www https://www.tandfonline.com/doi/full/10.1080/01443615.2022.2153023
Doi http://dx.doi.org/10.1080/01443615.2022.2153023
Klíčová slova Pelvic organ prolapse; sexual function; transvaginal mesh implant
Přiložené soubory
Popis 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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