title: Sexual function before and 1 year after laparoscopic sacrocolpopexy.
abstract: OBJECTIVE
  This study aimed to compare sexual function before and 1 year after laparoscopic sacrocolpopexy using a porcine dermis or a polypropylene mesh material.
  
  
  METHODS
  This was a secondary analysis of sexual function measured before and 1 year after laparoscopic sacrocolpopexy in a group of 81 sexually active women participating in a randomized controlled trial comparing porcine dermis and polypropylene mesh. Sexual function was assessed using the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Responses to individual questions from the physical domain of the PISQ-12 were also analyzed. Additional information included the type of mesh material used and whether a concomitant suburethral sling or perineorrhaphy was performed.
  
  
  RESULTS
  There was a significant postoperative improvement in total PISQ-12 scores for the entire cohort (33.2 vs 38.3, P < 0.01). Similarly, PISQ-12 scores were significantly improved in both groups (33.2 preoperative vs 37.4 one year postoperative in the porcine dermis, P < 0.01 and 33.2 vs 39.2 in the polypropylene mesh, P < 0.01). There were no differences between the 2 graft material groups. Preoperatively, 63.0% (48/76) of women reported avoiding sexual intercourse because of bulging in vagina (PISQ12-question #8), at 1 year postoperatively only 4% (3/76) had a positive response (P < 0.01). We observed a significant decrease in the number of women who reported pain during intercourse at 12 months as evidenced by the responses to the PISQ12-question #5, 47.4% (36/76) versus 26.3% (20/76) (P < 0.01). The addition of a suburethral sling or a perineorrhaphy did not negatively impact sexual function at 1 year.
  
  
  CONCLUSIONS
  Laparoscopic sacrocolpopexy had a positive impact on sexual function at 1 year regardless of whether a porcine dermis or a polypropylene mesh material was used.
authors.affiliation: From the *Division of Urogynecology, Atlantic Health System, Morristown; †Division of Urogynecology, Atlantic Health System, Summit, NJ; and ‡Department of Mathematics and Statistics, Kennesaw State University, Kennesaw, GA.
authors.forename: Charbel G
authors.initials: CG
authors.lastname: Salamon
authors.forename: Christa M
authors.initials: CM
authors.lastname: Lewis
authors.forename: Jennifer
authors.initials: J
authors.lastname: Priestley
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Culligan
mesh_terms: D000368:Aged; D000818:Animals; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D064593:Heterografts / Q000637:transplantation; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D011126:Polypropylenes / Q000009:adverse effects; D012445:Sacrococcygeal Region / Q000601:surgery; D012725:Sexual Behavior / Q000502:physiology*; D013526:Surgical Mesh / Q000009:adverse effects; D011795:Surveys and Questionnaires; D013552:Swine; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes