Abstract
Background and Objectives: Pelvic floor organ prolapse or relaxation may cause female sexual dysfunction. This study designed to evaluate effects of pelvic organ prolapse repair with preservation of vaginal epithelium on sexual function.
Materials and Methods: In a prospective study, 30 female patients with pelvic organ prolapse, female sexual dysfunction with or without incontinence were recruited. The patients were initially assessed using ICIQ-UISF and PISQ-R questionnaires. Three months after modified colporrhaphy and mid urethral sling, PISQ-R was filled out again for all patients to evaluate the sexual function. Thereafter, the patients’ conditions before and after surgery were compared with statistical analysis.
Results: After surgery, none of the patients had incontinence or mass sensation during intercourse. Moreover, they had no sexual dysfunction due to incontinence or pelvic organ prolapse. Although 63.4% of the patients had no pain or dyspareunia because of surgery, sexual desire significantly reduced (P=0.01) and sexual satisfaction did not change (P=0.13).
Conclusion: Although modified method of colporraphy did not induce dyspareunia, it did not change sexual satisfaction rate. It seems that female sexual dysfunction is multifactorial and only colporrhaphy is not effective.