title: What predicts improvement of sexual function after pelvic floor surgery? A follow-up study.
abstract: OBJECTIVE
  To analyze factors predictive for changes in sexual function after pelvic floor surgery and explore differences between stress urinary incontinence (SUI) and pelvic organ prolapse (POP) surgery.
  
  
  METHODS
  Prospective observational study.
  
  
  METHODS
  St Olav Hospital, Trondheim University Hospital, Norway.
  
  
  METHODS
  Of 346 mailed questionnaires for women scheduled for SUI and POP surgery, 65 questionnaires were available for analysis together with examination findings before and 1 year after surgery.
  
  
  METHODS
  Postal questionnaires including Prolapse and Incontinence Sexual Function Questionnaire (PISQ 12), Hopkins Symptom Checklist 5 for psychological distress, questions from the validated Body Image Questionnaire, a general health question, questions addressing goals for improvement after surgery, clinical findings based on the Pelvic Organ Prolapse Quantification System and Brief Sexual Function Index for partners. Uni- and multivariate linear regressions adjusting for age were performed.
  
  
  METHODS
  Change in PISQ 12 score at follow-up.
  
  
  RESULTS
  Sexual function significantly improved in the total group (p = 0.000). After stratification into SUI and POP surgery, improvement only remained significant after SUI surgery (p = 0.001). Improvement for the total group was predicted by good health or coital incontinence, whereas psychological distress or the goal of improved defecation predicted deterioration. For women undergoing SUI surgery, increasing age, parity or the goal of improving sexuality or body image predicted improvement, while for women undergoing POP surgery, menopausal status or anterior colporrhaphy predicted improvement.
  
  
  CONCLUSIONS
  Significantly improved sexuality was observed after pelvic floor surgery. Predictive factors for change differed for women undergoing SUI surgery and and those undergoing POP surgery.
authors: St Olavs Hospital, Trondheim, Norway; Institute of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
authors: Risa A M
authors: RA
authors: Lonnée-Hoffmann
authors: Øyvind
authors: Ø
authors: Salvesen
authors: Siv
authors: S
authors: Mørkved
authors: Berit
authors: B
authors: Schei
mesh_terms: D000328:Adult; D001828:Body Image / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009664:Norway; D017773:Pelvic Floor / Q000601:surgery*; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011788:Quality of Life; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000503:physiopathology / Q000523:psychology; D019529:Sexuality / Q000523:psychology; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*
keywords: Coital incontinence; female sexual function; pelvic floor disorders; pelvic organ prolapse surgery; stress urinary incontinence surgery; urogynecology