title: Sexual function in women after rectocele repair with acellular porcine dermis graft vs site-specific rectovaginal fascia repair.
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.
authors.affiliation: Division of Urogynecology and Reconstructive Pelvic Surgery, Riverside Methodist Hospital, Suite 501, North Medical Building, 3545 Olentangy River Road, Columbus, OH, and University of Iowa, USA. jnovi@ohiohealth.com
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Novi
authors.forename: Catherine S
authors.initials: CS
authors.lastname: Bradley
authors.forename: Najjia N
authors.initials: NN
authors.lastname: Mahmoud
authors.forename: Mark A
authors.initials: MA
authors.lastname: Morgan
authors.forename: Lily A
authors.initials: LA
authors.lastname: Arya
mesh_terms: D000328:Adult; D001705:Bioprosthesis; D003075:Coitus; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D020127:Recovery of Function; D020047:Rectocele / Q000523:psychology / Q000601:surgery*; D011795:Surveys and Questionnaires; D014182:Transplantation, Autologous