Posterior repair and sexual function.
OBJECTIVE
The purpose of this study was to determine the effect of posterior repair (PR) on sexual function in patients who have undergone incontinence and/or pelvic reconstructive surgery.


METHODS
A cohort study of women who underwent incontinence and/or prolapse surgery was performed. Participants completed the pelvic organ prolapse urinary incontinence sexual questionnaire (PISQ) before and after the operation. PISQ scores were compared between women who underwent PR and women who did not.


RESULTS
Of 73 study participants, 30 women underwent PR; 43 women did not (no PR). Although there was no difference in dyspareunia between groups pre-op, dyspareunia prevalence post-op was significantly lower in the no PR group. Preoperative PISQ scores were similar between groups. After the operation, both groups significantly improved their PISQ scores, without a difference between groups.


CONCLUSIONS
Although the incidence of dyspareunia differed between PR and no PR groups, overall improvement in sexual function was reflected in improved total PISQ scores that occurred irrespective of PR performance.
Komesu
Yuko M
YM
Division of Urogynecology and Pelvic Floor Disorders, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center School of Medicine, Albuquerque, NM, USA.
Rogers
Rebecca G
RG
Kammerer-Doak
Dorothy N
DN
Barber
Matthew D
MD
Olsen
Ambre L
AL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D004414:Dyspareunia / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*