title: Sexual functioning, quality of life and pelvic pain 12 months after endometriosis surgery including vaginal resection.
abstract: OBJECTIVE
  To evaluate sexual function, quality of life and pelvic pain after endometriosis surgery including vaginal resection.
  
  
  METHODS
  Prospective observational study with 12 months follow up.
  
  
  METHODS
  Regional central hospital and university hospital.
  
  
  METHODS
  Twenty-two patients with deep endometriotic nodules in the posterior fornix of the vagina undergoing complete excision of endometriosis, including vaginal resection.
  
  
  METHODS
  Sexual functioning was measured with the McCoy Female Sexuality Questionnaire, quality of life with a generic questionnaire (15D) and pain with a 10-point visual analog scale. Questionnaires were completed before and 12 months after the surgery. Main outcome measures. Changes in sexual function scores, quality-of-life scores and pain.
  
  
  RESULTS
  Twelve months after surgery, the sexual satisfaction score was higher (p= 0.03) and the sexual problems score lower (p= 0.04) compared with baseline values. Health-related quality-of-life scores for discomfort and symptoms (p= 0.001), distress (p= 0.04), vitality (p= 0.03) and sexual activity (p= 0.001), and the overall 15D score (p < 0.001), were significantly improved. The severity of all studied types of pain was significantly decreased (p < 0.05).
  
  
  CONCLUSIONS
  Complete excision of endometriosis, including vaginal resection, seems to offer a significant improvement in sexual functioning, quality of life and pelvic pain in symptomatic patients with deeply infiltrating endometriotic nodules in the posterior fornix of the vagina. This surgery may be associated with complications and adverse new-onset symptoms, and should be performed only after thorough consultation with the patient.
authors.affiliation: Department of Obstetrics and Gynaecology, Päijät-Häme Central Hospital, Lahti, Finland. marjaleena.setala@fimnet.fi
authors.forename: Marjaleena
authors.initials: M
authors.lastname: Setälä
authors.forename: Päivi
authors.initials: P
authors.lastname: Härkki
authors.forename: Jaakko
authors.initials: J
authors.lastname: Matomäki
authors.forename: Juha
authors.initials: J
authors.lastname: Mäkinen
authors.forename: Jyrki
authors.initials: J
authors.lastname: Kössi
mesh_terms: D000328:Adult; D003248:Constipation / Q000209:etiology / Q000628:therapy; D004412:Dysmenorrhea / Q000209:etiology / Q000628:therapy; D004414:Dyspareunia / Q000209:etiology / Q000628:therapy*; D004715:Endometriosis / Q000150:complications / Q000523:psychology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010147:Pain Measurement; D017699:Pelvic Pain / Q000209:etiology / Q000628:therapy*; D011446:Prospective Studies; D011788:Quality of Life; D012720:Severity of Illness Index; D014591:Uterine Diseases / Q000150:complications / Q000523:psychology / Q000601:surgery*; D014621:Vagina / Q000601:surgery*; D055815:Young Adult