title: Changes in sexual function and comparison of questionnaires following surgery for pelvic organ prolapse.
abstract: OBJECTIVE
  The aim of this study was to evaluate the effect of surgical repair of pelvic organ prolapse on female sexual function and to assess correlations between the two using two current standardized questionnaires.
  
  
  METHODS
  From October 2009 to September 2010, 143 patients with posterior compartment or combined vaginal prolapse were included. We assessed surgical outcomes according to anatomical change in the vagina and results of the Female Sexual Function Index (FSFI) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Function questionnaire (PISQ-12) both pre- and postoperatively.
  
  
  RESULTS
  Among the 143 preoperative patients, 99 and 84 patients responded to the PISQ-12 and FSFI, respectively. The mean PISQ-12 score increased after surgery (p<0.001). Specifically, postoperative scores for questions 8 and 12 were higher than their respective preoperative scores (p<0.001). Postoperatively, mean FSFI score changed only slightly (p=0.76), and only the score for the satisfaction domain was improved (p=0.023). In regards to vaginal anatomy, vaginal length was significantly greater postoperatively (6.99±0.18 vs. 7.56±1.08, p<0.001), and postoperative vaginal caliber was narrowed to a two-finger width.
  
  
  CONCLUSIONS
  In this study, surgery for pelvic organ prolapse was shown to affect female sexual function. Moreover, menopause was associated with a change in postoperative sexual function.
authors: Department of Obstetrics and Gynecology, Institute of Women's Life Medical Science, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. swbai@yuhs.ac.
authors: Soo Rim
authors: SR
authors: Kim
authors: Yeo Jung
authors: YJ
authors: Moon
authors: Sei Kwang
authors: SK
authors: Kim
authors: Sang Wook
authors: SW
authors: Bai
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000503:physiopathology* / Q000601:surgery*; D012725:Sexual Behavior / Q000502:physiology*; D011795:Surveys and Questionnaires
keywords: Female Sexual Function Index; Pelvic Organ Prolapse/Urinary Incontinence Sexual Function questionnaire; Pelvic organ prolapse; female sexual dysfunction; sexual function