title: Body image in women before and after reconstructive surgery for pelvic organ prolapse.
abstract: OBJECTIVE
  This study seeks to determine the impact of prolapse surgery on body image in women with pelvic organ prolapse.
  
  
  METHODS
  Case-control study of 76 sexually active women with greater than or equal to stage II prolapse planning reconstructive surgery and 67 women with lesser than or equal to stage I prolapse. Questionnaires/examinations were completed at baseline and 6 months postoperatively for cases and at baseline for controls: Body Exposure During Sexual Activity Questionnaire (BESAQ), Body Image Quality of Life Inventory (BIQLI), Pelvic Floor Distress Inventory (PFDI)/Pelvic Floor Impact Questionnaire (PFIQ), and Pelvic Organ Prolapse-Incontinence Sexual Function Questionnaire-12 (PISQ-12), and the Pelvic Organ Prolapse Quantification (POPQ) examination.
  
  
  RESULTS
  Baseline and 6-month data were available for 64 case women with mean age of 60 +/- 8 years, mean body mass index of 28 +/- 5 kg/m(2), 96% Caucasian, and 83% postmenopausal. Baseline POPQ stage distribution was: stage II 14%, stage III 78%, and stage IV 8%. BESAQ, BIQLI, PFDI/PFIQ, and PISQ-12 postoperative scores significantly improved compared to preoperatively (all p <or= 0.001).
  
  
  CONCLUSIONS
  Body image, sexual function, and pelvic floor symptoms improve after prolapse surgery.
authors.affiliation: Division of Urogynecology, Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh, School of Medicine, Pittsburgh, PA 15213, USA. jlowder@mail.magee.edu
authors.forename: Jerry L
authors.initials: JL
authors.lastname: Lowder
authors.forename: Chiara
authors.initials: C
authors.lastname: Ghetti
authors.forename: Pamela
authors.initials: P
authors.lastname: Moalli
authors.forename: Halina
authors.initials: H
authors.lastname: Zyczynski
authors.forename: Thomas F
authors.initials: TF
authors.lastname: Cash
mesh_terms: D000368:Aged; D001828:Body Image; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000523:psychology* / Q000601:surgery*; D011788:Quality of Life; D012044:Regression Analysis; D012725:Sexual Behavior / Q000523:psychology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome