title: [Sexual function before surgery for pelvic organ prolapse].
abstract: OBJECTIVE
  The aim of our study was to assess the link between pelvic organ prolapse (POP) characteristics and sexual well-being using validated tools.
  
  
  METHODS
  A prospective analysis was carried out in 148 women with a POP. The degree of prolapse was measured by using the Pelvic Organ Prolapse Quantification (POPQ). Pelvic Floor Distress Inventory (PFDI-20) questionnaire score was used to estimate the severity of symptoms. Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire short form (PISQ-12) scores determined sexual function level.
  
  
  RESULTS
  No correlation was found concerning the global sexual function score and the POP stage (P=0.24). Pelvic and urinary symptoms were associated with a decrease in sexual function score (P=0.04 and P=0.002). Defecation symptoms were correlated with decreased sexual satisfaction (P ≤ 0.05) and were associated with premature ejaculation (P ≤ 0.05). Urinary symptoms were associated with dyspareunia (P ≤ 0.01), avoidance of sexual activities (P ≤ 0.05), negative emotions during intercourse (P ≤ 0.01) and decreased sexual excitement (P ≤ 0.05). Pelvic symptoms were significantly tied to avoidance of sexual activities (P ≤ 0.01), dyspareunia (P ≤ 0.05) and a poorer orgasm quality (P ≤ 0.05).
  
  
  CONCLUSIONS
  The degree of pelvic organ prolapse was not statistically associated with sexual function. However, urinary, pelvic and defecatory (ano-rectal) symptoms were associated with a decrease in the couple's sexual well-being.
authors.affiliation: Service d'urologie, centre hospitalier Carémeau, rue du Professeur-Debré, 30000 Nîmes, France. fred.uro@gmail.com
authors.forename: F
authors.initials: F
authors.lastname: Thibault
authors.forename: L
authors.initials: L
authors.lastname: Wagner
authors.forename: P
authors.initials: P
authors.lastname: Rouvellat
authors.forename: G
authors.initials: G
authors.lastname: Seni
authors.forename: M
authors.initials: M
authors.lastname: Brouziyne
authors.forename: R
authors.initials: R
authors.lastname: de Tayrac
authors.forename: S
authors.initials: S
authors.lastname: Droupy
authors.forename: P
authors.initials: P
authors.lastname: Costa
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000150:complications* / Q000601:surgery*; D057234:Preoperative Period; D011446:Prospective Studies; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*