Vaginal Symptoms after Reconstructive Surgery for Prolapsed Pelvic Organ
Abstract
Objective: Pelvic organ prolapse is a common disorder in women over the world and its general treatment is surgery. Therefore it is important to consider if vaginal symptoms, quality of life and sexual function after surgery improve. The purpose of this study was to assess vaginal symptoms in women 3 months after surgery for pelvic organ prolapse.
Materials and methods: In this study 50 eligible women were evaluated between March 2007 and May 2008. These women underwent physical examination for prolapse staging and medical status and completed the ICIQ–VS questionnaire pre– and post operation 3 months later).
Results: Mean age was 44.86 (31–74) years and %72 were premenopausal. Vaginal symptoms, sexual function and quality of life scores improved in order (8.88 Vs 18.04, 17.16 Vs 34.48, 2.76 Vs 4.8, all P<0.05).
Conclusion: Vaginal symptoms, sexual function and quality of life after surgery improved. It appears that in Iranian patients, the performance of reconstruction surgery alone results in satisfaction.
Ahia Garshasbi, Soghrat Faghih–Zadeh, Nader Falah. The Status of pelvic supporting organs in a population of Iranian women 18–68 years of age and possible related factors. Archives of Iranian Medicine 2006; 9: 124–8.
Weber AM, Walter MD, Schover LR, Mitchinson AR. Sexual function in women with uterovaginal prolapse and urinary incontinence. Obstet Gynecol 1995; 85: 483–7.
Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997; 89: 501– 6.
Barber MD, Visco AG, Wyman JF, Fantl JA, Bump RC; Continence Program for Women Research Group. Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstetrics & Gynecology 2002; 99: 281–9.
Rogers RG, Kammerer–Doak D, Darrow A, Murray K, Qualls C, Olsen A, et al. Does sexual function change after surgery for stress urinary incontinence and /or pelvic organ prolapse? A multicenter prospective study. American Journal of Obstetrics and Gynecology 2006; 195: e1–4.
Stoutjesdijk, Jackie A. Vierhout, Mark E. Spruijt, Johan W M. Massolt, Elske T. Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well being? A prospective follow–up study. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17: 131–5.
Haase P, Skibsted L. Influence of operations for stress incontinence and/or genital descensus on sexual life. Acta Obstet Gynecol Scand.1988; 67: 659–61.
Milani AL, Flu PK, Vierhout ME, Wallenburg HC .Results and complications of vaginal correction of vaginal and uterine prolapse with or without urinary incontinence; A prospective study. Ned Tijdschr Geneeskd 1993; 137: 250–5.
Gungor T, Ekin M, Dogan M, Mungan T, Ozcan U, Gokmen O. Influence of anterior colporrhaphy with colpoperineoplasty operations for stress incontinence and/or genital descent on sexual life. J Pak Med Assoc 1997; 47: 248–50
Lemack GE, Zimmern, PE. Sexual function after vaginal surgery for stress incontinence: results of a mailed questionnaire. Urology 2000; 56: 223–7.
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): A Multidimensional Self–Report Instrument For The Assessment Of Female Sexual Function. Journal of Sex & Marital Therapy 2000; 26: 191–208.
Rogers RG, Kammerer–Doak D, Villarreal A, Coates K, Qualls C. A new instrument to measure sexual function in women with urinary incontinence or pelvic organ prolapse, Am J Obstet Gynecol 2001; 184:552–8.
Price N, Jackson SR, Avery K, Brookes ST, Abrams P. Development and psychometric evaluation of the ICIQ Vaginal Symptoms Questionnaire: The ICIQ-VS. BJOG 2006; 113: 700–12.
Bump R,Mattiasson A, Bo K, Brubaker L, DeLancey J, Klarskov P, et al. The standardisation of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996; 175: 10–7.
Rogers RG, Kammerer–Doak D, Darrow A, Murray K, Olsen A, Barber M, et al. Sexual function after surgery for stress urinary incontinence and /or pelvic organ prolapse: a multicenter prospective study. Am J Obstet Gynecol. 2004; 191: 206–10.
| Files | ||
| Issue | Vol 4, No 3 (September 2010) | |
| Section | Original Articles | |
| Keywords | ||
| ICIQ–VS questionnaire Quality of life Sexual function Pelvic organ prolapse Vaginal symptom | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
