title: Sexual function after anterior vaginal wall prolapse surgery.
abstract: OBJECTIVE
  The aim of this study was to compare female sexual function after surgical treatment of anterior vaginal prolapse with either small intestine submucosa grafting or traditional colporrhaphy.
  
  
  METHODS
  Subjects were randomly assigned, preoperatively, to the small intestine submucosa graft (n = 29) or traditional colporrhaphy (n = 27) treatment group. Postoperative outcomes were analyzed at 12 months. The Female Sexual Function Index questionnaire was used to assess sexual function. Data were compared with independent samples or a paired Student's t-test.
  
  
  RESULTS
  In the small intestine submucosa group, the total mean Female Sexual Function Index score increased from 15.5±7.2 to 24.4±7.5 (p<0.001). In the traditional colporrhaphy group, the total mean Female Sexual Function Index score increased from 15.3±6.8 to 24.2±7.0 (p<0.001). Improvements were noted in the domains of desire, arousal, lubrication, orgasm, satisfaction, and pain. There were no differences between the two groups at the 12-month follow-up.
  
  
  CONCLUSIONS
  Small intestine submucosa repair and traditional colporrhaphy both improved sexual function postoperatively. However, no differences were observed between the two techniques.
authors.affiliation: Section of Urogynecology and Pelvic Surgery, Department of Gynecology, Universidade Federal de São Paulo, São Paulo, SP, Brazil. pfeldner@alfa.epm.br
authors.forename: Paulo Cezar
authors.initials: PC
authors.lastname: Feldner
authors.forename: Carlos Antonio
authors.initials: CA
authors.lastname: Delroy
authors.forename: Sérgio Brasileiro
authors.initials: SB
authors.lastname: Martins
authors.forename: Rodrigo Aquino
authors.initials: RA
authors.lastname: Castro
authors.forename: Marair Gracio Ferreira
authors.initials: MG
authors.lastname: Sartori
authors.forename: Manoel João Batista Castello
authors.initials: MJ
authors.lastname: Girão
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007421:Intestine, Small / Q000637:transplantation*; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery; D011183:Postoperative Complications; D011184:Postoperative Period; D011788:Quality of Life; D012725:Sexual Behavior / Q000502:physiology*; D012735:Sexual Dysfunction, Physiological / Q000209:etiology / Q000523:psychology; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*