title: [Consequences of coelioscopic sacrocolopoxy on the sexuality of the couple].
abstract: OBJECTIVE
  To assess the impact on the sexuality of the couple of pelvic organ prolapse repair with coelioscopic sacrocolopoxy.
  
  
  METHODS
  Pilot, prospective, monocentre study conducted in Nîmes university hospital. Consecutive patients undergoing coelioscopic sacrocolpopexy and their partner were invited to participate. Women attended a pre-surgical visit and a 6-month post-surgery visit where pelvic organ prolapse status was clinically assessed. In the same time, they and their partner filled general quality of life and specific sexual quality of life questionnaires (questionnaires PISQ12, PFDI-20 in women, medical history, IIEF, modified PISQ12 questionnaires in men).
  
  
  RESULTS
  From May to December 2010, 25 couples were assessed. Anatomical success rates (POPQ<2) in the middle, anterior and posterior compartments were respectively of 100%, 95.4% and 66.7%. After surgery, 65.2% of pairs (n=15) reported an at least hebdomadal frequency of sexual intercourse, as compared with 54.2% (n=13) of pairs before surgery (P<0.001). Two cases of decrease of sexual intercourses frequency were reported and appeared partner-related. There was an overall non-significant improvement in sexual quality of life in men and women. General pelvic organ distress, urinary incontinence and specific pelvic organ prolapse distresses were significantly improved after surgery.
  
  
  CONCLUSIONS
  Coelioscopic sacrocolpopexy does not impair couple's sexuality, assessed as sexual intercourses frequency and could even improve it. Partner's assessment can bring important information with respect to the interpretation of functional sexual results of surgery.
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France. Electronic address: ornella_lam@hotmail.com.
authors.forename: O
authors.initials: O
authors.lastname: Lam Van Ba
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France. Electronic address: laurent.wagner@chu-nimes.fr.
authors.forename: L
authors.initials: L
authors.lastname: Wagner
authors.affiliation: Département de l'information médicale et biostatistiques, CHU de Montpellier, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France. Electronic address: f-letois@chu-montpellier.fr.
authors.forename: F
authors.initials: F
authors.lastname: Letois
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France. Electronic address: nicolas.siegler@chu-nimes.fr.
authors.forename: N
authors.initials: N
authors.lastname: Siegler
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France. Electronic address: laurent.soustelle@chu-nimes.fr.
authors.forename: L
authors.initials: L
authors.lastname: Soustelle
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France. Electronic address: michel.boukaram@chu-nimes.fr.
authors.forename: M
authors.initials: M
authors.lastname: Boukaram
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France. Electronic address: kamel.bennaoum@chu-nimes.fr.
authors.forename: K
authors.initials: K
authors.lastname: Ben Naoum
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France. Electronic address: stephane.droupy@chu-nimes.fr.
authors.forename: S
authors.initials: S
authors.lastname: Droupy
authors.affiliation: Service d'urologie et andrologie, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France. Electronic address: pierre.costa@chu-nimes.fr.
authors.forename: P
authors.initials: P
authors.lastname: Costa
mesh_terms: D000328:Adult; D000368:Aged; D003075:Coitus; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D010865:Pilot Projects; D011446:Prospective Studies; D012447:Sacrum; D011795:Surveys and Questionnaires; D014621:Vagina / Q000601:surgery
keywords: Coelioscopic sacrocolopoxy; Couple; Pelvic organ prolapse; Prolapsus pelvien; Promontofixation; Quality of life; Qualité de vie; Sexuality; Sexualité
vernacular_title: Impact des cures de prolapsus pelviens par promontofixation laparoscopique sur la sexualité du couple.