INTRODUCTION AND OBJECTIVES: Colposacropexy (CSP), with or without hysterectomy, is a valid technique for the repair of severe urogenital prolapse. For many years, uterine prolapse has represented an indication for hysterectomy, apart from the presence or absence of uterine disease and the patient’s desires. Nevertheless, sparing the uterus is essential to women not only to have normal sexual functioning but to maintain physical and anatomical integrity as well. The aim of this study is to assess sexual function in a group of patients who underwent CSP or hysterocolposacropexy (HSP). METHODS: We enrolled 59 patients who underwent surgery for urogenital prolapse (21 HSP, mean age 53 years; 38 CSP, mean age 59 years). Based on a preliminary sexual history and sexual questionnaire (Female Sexual Function Index -FSFI), all patients were sexually active before surgery. At a mean follow-up of 24 months (range 6-48), we reassessed the patients using the same FSFI questionnaire. We considered sexual activity with a score 30 as good, 23–29 as intermediate, and 23 as poor. RESULTS: In patients who underwent CSP and HSP, sexual activity was good in 30% and 23%, intermediate in 35% and 44%, and poor in 35% and 33%, respectively. A detailed analysis of our data showed that there are no differences in FSFI score before and after HSP and CSP groups (p 0,797 and p0,954 respectively). Postoperatively there were no significant differences between the two groups in terms of total score: CSP 27.2 .7.4 vs. HSP 26.3 6.5 and between single domains (desire, arousal, lubrication, orgasm, satisfaction, and pain) (P 0,718). CONCLUSIONS: Integral pelvic floor reconstructive surgery restores a complete aesthetical and functional condition in the patients affected by urogenital prolapse. Furthermore our data showed no substantial differences regarding postoperative sexual activity in patients in whom the uterus has been spared compared to those in whom it has been removed.

Female sexual function evaluation in patients who underwent integral pelvic floor reconstructive surgery

COSTANTINI, Elisabetta;ZUCCHI, ALESSANDRO;MEARINI, Luigi;DEL ZINGARO, Michele;GIANNANTONI, Antonella;LAZZERI, MASSIMO
2010

Abstract

INTRODUCTION AND OBJECTIVES: Colposacropexy (CSP), with or without hysterectomy, is a valid technique for the repair of severe urogenital prolapse. For many years, uterine prolapse has represented an indication for hysterectomy, apart from the presence or absence of uterine disease and the patient’s desires. Nevertheless, sparing the uterus is essential to women not only to have normal sexual functioning but to maintain physical and anatomical integrity as well. The aim of this study is to assess sexual function in a group of patients who underwent CSP or hysterocolposacropexy (HSP). METHODS: We enrolled 59 patients who underwent surgery for urogenital prolapse (21 HSP, mean age 53 years; 38 CSP, mean age 59 years). Based on a preliminary sexual history and sexual questionnaire (Female Sexual Function Index -FSFI), all patients were sexually active before surgery. At a mean follow-up of 24 months (range 6-48), we reassessed the patients using the same FSFI questionnaire. We considered sexual activity with a score 30 as good, 23–29 as intermediate, and 23 as poor. RESULTS: In patients who underwent CSP and HSP, sexual activity was good in 30% and 23%, intermediate in 35% and 44%, and poor in 35% and 33%, respectively. A detailed analysis of our data showed that there are no differences in FSFI score before and after HSP and CSP groups (p 0,797 and p0,954 respectively). Postoperatively there were no significant differences between the two groups in terms of total score: CSP 27.2 .7.4 vs. HSP 26.3 6.5 and between single domains (desire, arousal, lubrication, orgasm, satisfaction, and pain) (P 0,718). CONCLUSIONS: Integral pelvic floor reconstructive surgery restores a complete aesthetical and functional condition in the patients affected by urogenital prolapse. Furthermore our data showed no substantial differences regarding postoperative sexual activity in patients in whom the uterus has been spared compared to those in whom it has been removed.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11391/43484
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