title: [Impact of colpocleisis on body image in women with severe pelvic organ prolapse].
abstract: OBJECTIVE
  To investigate the impact of colpocleisis on body image in women with severe pelvic organ prolapse (POP).
  
  
  METHODS
  From Oct. 2005 to Feb. 2010, 60 POP patients with stage III and IV by POP quantitation system underwent total or partial colpocleisis. Patients received body image evaluation before and 1 year after operation.
  
  
  RESULTS
  One year after operation, 52 (87%, 52/60) patients completed body image evaluation. Before and 1 year after operation, the ratio of answer "Not at all" of questions such as "Have you felt less physically attractive as a result of your vaginal prolapse?", "Have you been feeling less feminine as a result of your vaginal prolapse?", "Did you find it difficult to look at yourself naked?", "Have you been feeling less sexually attractive as a result of your vaginal prolapse?", "Have you felt dissatisfied with your body?" were 25% and 96% (P < 0.01), 21% and 96% (P < 0.01), 37% and 67% (P = 0.018), 29% and 96% (P < 0.01), 12% and 83% (P < 0.01), respectively, indicating significant improvement on body image after operation for patients treated by colpocleisis.
  
  
  CONCLUSIONS
  Women underwent colpocleisis for severe POP could not decrease their body image as a result of the disability of vaginal intercourse.
authors.affiliation: Department of Obstetrics and Gynecology, First Affiliated Hospital, General Hospital of People's Liberation Army, Beijing 100048, China.
authors.forename: Ying-hui
authors.initials: YH
authors.lastname: Zhang
authors.forename: Yong-xian
authors.initials: YX
authors.lastname: Lu
authors.forename: Xin
authors.initials: X
authors.lastname: Liu
authors.forename: Jing-xia
authors.initials: JX
authors.lastname: Liu
authors.forename: Wen-jie
authors.initials: WJ
authors.lastname: Shen
authors.forename: Wen-ying
authors.initials: WY
authors.lastname: Wang
authors.forename: Jing
authors.initials: J
authors.lastname: Ge
authors.forename: Ying
authors.initials: Y
authors.lastname: Zhao
authors.forename: Ke
authors.initials: K
authors.lastname: Niu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001828:Body Image; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D011594:Psychometrics; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires / Q000592:standards; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*