title: Mediolateral versus lateral episiotomy and their effect on postpartum coital activity and dyspareunia rate 3 and 6 months postpartum.
abstract: OBJECTIVE
  Comparison of the effects of two episiotomy types on sexual activity, dyspareunia and overall satisfaction after childbirth.
  
  
  METHODS
  A prospective follow-up study of a randomized comparative trial evaluating peripartum outcome of a vaginal delivery after mediolateral (MLE) or lateral (LE) episiotomy.
  
  
  METHODS
  The participants completed questionnaires regarding sexual activity, dyspareunia, perineal pain, aesthetic appearance and overall satisfaction 3 (3M) and 6 months (6M) postpartum.
  
  
  RESULTS
  A total of 648 women were available for the analyses (306 MLE, 342 LE). The groups showed no difference regarding resumption and regularity of sex, timing of resumption, frequency and intensity of dyspareunia, perineal pain, aesthetic appearance or overall satisfaction 3M or 6M postpartum. 98.0% of women after MLE and 97.7% after LE resumed sexual intercourse within 6M after delivery (p = 0.74). In the same period 15.6% of women after MLE and 16.1% after LE suffered from considerable dyspareunia (p = 0.86).
  
  
  CONCLUSIONS
  Quality of sexual life and perception of perineal pain after MLE is equivalent to LE.
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine, Charles University, Alej Svobody 80, 304 60 Pilsen, Czech Republic.
authors.forename: Pavlina
authors.initials: P
authors.lastname: Necesalova
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine, Charles University, Alej Svobody 80, 304 60 Pilsen, Czech Republic.
authors.forename: Jaroslava
authors.initials: J
authors.lastname: Karbanova
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine, Charles University, Alej Svobody 80, 304 60 Pilsen, Czech Republic.
authors.forename: Zdenek
authors.initials: Z
authors.lastname: Rusavy
authors.affiliation: National Institute of Mental Health, Klecany, Czech Republic.
authors.forename: Zlatko
authors.initials: Z
authors.lastname: Pastor
authors.affiliation: European Centre of Excellence NTIS - New Technologies for Information Society, Faculty of Applied Sciences, University of West Bohemia, Pilsen, Czech Republic.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Jansova
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital, Faculty of Medicine, Charles University, Alej Svobody 80, 304 60 Pilsen, Czech Republic. Electronic address: kalisv@fnplzen.cz.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Kalis
mesh_terms: D000293:Adolescent; D000328:Adult; D003075:Coitus; D004414:Dyspareunia / Q000453:epidemiology / Q000209:etiology*; D004841:Episiotomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010146:Pain / Q000453:epidemiology / Q000209:etiology*; D036801:Parturition; D049590:Postpartum Period; D015995:Prevalence; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Coital activity; Dyspareunia; Lateral episiotomy; Mediolateral episiotomy; Perineal pain; Satisfaction