Does the Prolift system cause dyspareunia?
OBJECTIVE
The purpose of this study was to determine the de novo dyspareunia rate with the Prolift procedure.


METHODS
All Prolift cases performed between August 2005 and August 2007 were evaluated. The rate of de novo dyspareunia was calculated by chart review. Type and degree of dyspareunia were assessed by self-administered questionnaire. Demographics, use of hormone therapy, failure rate, and willingness to have the surgery again were summarized using descriptive statistics.


RESULTS
The rate of de novo dyspareunia was 16.7%. Over 75% of patients with de novo dyspareunia described the pain as mild or moderate. Most described dyspareunia with insertion. Eighty-three percent of respondents with de novo dyspareunia would have the procedure done again.


CONCLUSIONS
The Prolift is associated with a 17% de novo dyspareunia rate. Despite this, most would have the surgery done again.
Lowman
Joye K
JK
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN, USA.
Jones
Leticia A
LA
Woodman
Patrick J
PJ
Hale
Douglass S
DS
D000367:Age Factors; D000368:Aged; D004414:Dyspareunia / Q000453:epidemiology* / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology; D019736:Prostheses and Implants / Q000009:adverse effects*; D011788:Quality of Life; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D053825:Suburethral Slings / Q000009:adverse effects; D013526:Surgical Mesh / Q000009:adverse effects; D011795:Surveys and Questionnaires; D014596:Uterine Prolapse / Q000175:diagnosis / Q000601:surgery*