American Journal of Obstetrics & Gynecology
Volume 197, Issue 1 , Pages 101.e1-101.e6, July 2007

Posterior repair and sexual function

Presented at the 27th Annual Scientific Meeting of the American Urogynecologic Society, Palm Springs, CA, Oct. 19-21, 2006.

  • Yuko M. Komesu, MD

      Affiliations

    • Division of Urogynecology and Pelvic Floor Disorders, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center School of Medicine, Albuquerque, NM
    • ,
  • Rebecca G. Rogers, MD

      Affiliations

    • Division of Urogynecology and Pelvic Floor Disorders, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center School of Medicine, Albuquerque, NM
    • ,
  • Dorothy N. Kammerer-Doak, MD

      Affiliations

    • Department of Urogynecology and Pelvic Floor Disorders, Women’s Health Services, Lovelace-Sandia Healthcare Systems, Albuquerque, NM
    • ,
  • Matthew D. Barber, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, Cleveland, OH
    • ,
  • Ambre L. Olsen, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA.

Objective

The purpose of this study was to determine the effect of posterior repair (PR) on sexual function in patients who have undergone incontinence and/or pelvic reconstructive surgery.

Study Design

A cohort study of women who underwent incontinence and/or prolapse surgery was performed. Participants completed the pelvic organ prolapse urinary incontinence sexual questionnaire (PISQ) before and after the operation. PISQ scores were compared between women who underwent PR and women who did not.

Results

Of 73 study participants, 30 women underwent PR; 43 women did not (no PR). Although there was no difference in dyspareunia between groups pre-op, dyspareunia prevalence post-op was significantly lower in the no PR group. Preoperative PISQ scores were similar between groups. After the operation, both groups significantly improved their PISQ scores, without a difference between groups.

Conclusion

Although the incidence of dyspareunia differed between PR and no PR groups, overall improvement in sexual function was reflected in improved total PISQ scores that occurred irrespective of PR performance.

Key words: dyspareunia, incontinence, posterior repair, prolapse, sexual function

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 Cite this article as: Komesu YM, Rogers RG, Kammerer-Doak DN, Barber MD, Olsen AL. Posterior repair and sexual function. Am J Obstet Gynecol 2007;197:101.e1-101.e6.Reprints not available from the authors.Supported in part by an unrestricted educational grant from Procter and Gamble in the amount of $25,610, and also by General Clinic Research Center grant no. M01 RR 00997, National Center for Research Resources.

PII: S0002-9378(07)00420-6

doi:10.1016/j.ajog.2007.03.054

American Journal of Obstetrics & Gynecology
Volume 197, Issue 1 , Pages 101.e1-101.e6, July 2007

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