دورية أكاديمية

Sexual function in women after rectocele repair with acellular porcine dermis graft vs site-specific rectovaginal fascia repair.

التفاصيل البيبلوغرافية
العنوان: Sexual function in women after rectocele repair with acellular porcine dermis graft vs site-specific rectovaginal fascia repair.
المؤلفون: Joseph Novi, Catherine Bradley, Najjia Mahmoud, Mark Morgan, Lily Arya
المصدر: International Urogynecology Journal; Oct2007, Vol. 18 Issue 10, p1163-1169, 7p
مصطلحات موضوعية: URINARY incontinence, WOMEN'S sexual behavior, NYMPHOMANIA, LESBIANISM
مستخلص: Abstract  The objective of the study was to compare preoperative and postoperative sexual function between women undergoing rectocele repair with porcine dermis graft and women undergoing site-specific repair of rectovaginal fascia. A standardized, validated questionnaire (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire [PISQ]) was used to collect preoperative sexual function data from 100 patients with rectocele pelvic organ prolapse quantification stage 2 or greater. Fifty women underwent rectocele repair utilizing porcine dermis graft (group 1) and 50 women underwent a site-specific repair of the rectovaginal fascia (group 2). The same questionnaire was administered to all subjects 6 months after surgery. The two groups were similar in age, race, parity, prior hysterectomy, and postmenopausal hormone use. Preoperative sexual function scores were similar in the two groups (group 1 81.4 � 7.3 and group 2: 83.6 � 8.2, p = 1.0). Six months after surgery, PISQ scores in group 1 significantly increased (score increase 19.9 � 2.2, p = 0.01). The mean increase in PISQ scores for group 2 was 6.9 � 3.1 (p = 0.08). When compared with group 2, subjects undergoing rectocele repair with porcine dermis graft scored significantly higher on the PISQ 6 months after surgery (group 1 101.3 � 6.4 and group 2 89.7 � 7.1, p = 0.01). We conclude that rectocele repair using porcine dermis graft is associated with improved sexual functioning when compared with site-specific rectovaginal fascia repair. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:09373462
DOI:10.1007/s00192-006-0295-3