دورية أكاديمية
A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR.
| العنوان: | A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR. |
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| المؤلفون: | Rusavy Z; Department of Gynecology and Obstetrics. Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic. rusavyz@fnplzen.cz., Kovarova V; Department of Gynecology and Obstetrics. Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic., Tvarozek S; Department of Gynecology and Obstetrics. Faculty of Medicine, Masaryk University in Brno, Brno, Czech Republic., Smazinka M; Department of Gynecology and Obstetrics. Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic., Havir M; Department of Gynecology and Obstetrics. Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic., Kalis V; Department of Gynecology and Obstetrics. Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic. |
| المصدر: | International urogynecology journal [Int Urogynecol J] 2024 Apr; Vol. 35 (4), pp. 873-880. Date of Electronic Publication: 2024 Mar 15. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: England NLM ID: 101567041 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-3023 (Electronic) Linking ISSN: 09373462 NLM ISO Abbreviation: Int Urogynecol J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Springer |
| مواضيع طبية MeSH: | Laparoscopy*/methods , Sexual Behavior* , Dyspareunia*/etiology , Dyspareunia*/epidemiology , Pelvic Organ Prolapse*/surgery , Quality of Life* , Gynecologic Surgical Procedures*/methods, Humans ; Female ; Middle Aged ; Prospective Studies ; Aged ; Surveys and Questionnaires ; Postoperative Period ; Vagina/surgery |
| مستخلص: | Introduction and Hypothesis: Although laparoscopic sacrocolpopexy is a recommended procedure for sexually active women, its full impact on sexual life remains underexplored. This study is aimed at comprehensively assessing changes in the quality of sexual life and the prevalence of dyspareunia in women 1 year after laparoscopic sacrocolpopexy. Methods: This prospective observational study enrolled women undergoing laparoscopic sacrocolpopexy for pelvic organ prolapse stage≥ 2. Included were women with a completed Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA Revised (PISQ-IR) questionnaire before and at 1 year after surgery. Individual domains of the PISQ-IR were compared separately. Dyspareunia, single summary PISQ-IR and PISQ-12 scores were additionally compared in sexually active women. Statistical analyses included paired signed rank, Wilcoxon, Median, Chi-squared, and Fisher tests (p < 0.05). Results: Between February 2015 and December 2019, a total of 333 women were included. Mean age was 61.0 ± 11.2 and 141 (42%) reported being sexually active at baseline. At 12 months postoperatively, sexual activity was preserved in 110 (78%) of these women and an additional 26 women (14%) became sexually active. Both single-summary PISQ-IR (3.4 vs 3.6, p < 0.01) and PISQ-12 (36.0 vs 38.1, p < 0.01) scores increased significantly. The only variable that was associated with deteriorated scores postoperatively was a higher BMI. Individual domain analyses revealed significant improvement in condition-specific and condition-impact domains, except for the desire domain, which deteriorated. Prevalence of dyspareunia decreased post-surgery from 21.8% to 16.4%, p < 0.05. Newly sexually active women were older, had shorter vaginal length preoperatively, but lower PISQ-IR scores postoperatively than sexually inactive women pre- and postoperatively. Women ceasing sexual activity were older and had lower preoperative PISQ-IR scores than sexually active women pre- and postoperatively. Conclusions: Although the overall rate of sexually active women and sexual desire declined 12 months after sacrocolpopexy, overall sexual function scores improved and the prevalence of dyspareunia decreased. (© 2024. The International Urogynecological Association.) |
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| معلومات مُعتمدة: | Cooperatio program Lékařská Fakulta v Plzni, Univerzita Karlova |
| فهرسة مساهمة: | Keywords: Dyspareunia; Mesh; PISQ-12; PISQ-IR; Sacrocolpopexy; Sexuality |
| تواريخ الأحداث: | Date Created: 20240315 Date Completed: 20240426 Latest Revision: 20240529 |
| رمز التحديث: | 20240530 |
| DOI: | 10.1007/s00192-024-05765-9 |
| PMID: | 38485810 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1433-3023 |
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| DOI: | 10.1007/s00192-024-05765-9 |