Document Detail

Does vaginal reconstructive surgery with or without vaginal hysterectomy or trachelectomy improve sexual well being? A prospective follow-up study.
MedLine Citation:
PMID:  16025189     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare sexual well being in women with pelvic organ prolapse before and after vaginal reconstructive surgery.
METHODS: Sixty-seven women, mean age 61 (36-85) years, who underwent vaginal reconstructive surgery, were asked to complete detailed questionnaires before and after surgery. In addition, they underwent a physical examination using the Pelvic Organ Prolapse Quantification (POPQ), before surgery and at follow-up.
RESULTS: Mean duration of follow-up was 14.4 months (6.6-27.6 months). The overall satisfaction with the operation was high with a mean of 7.5 on a visual analogue scale from 0 to 10. There was a significant improvement of dyspareunia after vaginal reconstructive surgery. The ability to have intercourse, the satisfaction with intercourse as well as the frequency of intercourse also improved although not significantly. Urine loss during intercourse improved significantly.
CONCLUSION: Vaginal reconstructive surgery for pelvic organ prolapse has a positive effect on the sexual well being of the afflicted women.
Jackie A Stoutjesdijk; Mark E Vierhout; Johan W M Spruijt; Elske T Massolt
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Publication Detail:
Type:  Journal Article     Date:  2005-07-16
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  17     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-01     Completed Date:  2006-07-20     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  131-5     Citation Subset:  IM    
Department of Gynecology and Obstetrics, Erasmus Medical Center, Rotterdam, The Netherlands.
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MeSH Terms
Aged, 80 and over
Cervix Uteri / surgery
Gynecologic Surgical Procedures / methods*
Hysterectomy, Vaginal
Longitudinal Studies
Middle Aged
Prospective Studies
Sexual Behavior / physiology*
Sexual Dysfunction, Physiological / surgery
Treatment Outcome
Uterine Prolapse / surgery
Vagina / physiology,  surgery*
Visceral Prolapse / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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