A Comprehensive Evaluation of Sexual Life in Women After
Laparoscopic Sacrocolpopexy using PISQ-IR

J 2024

A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR

RUSAVY, Zdenek, Veronika KOVAROVA, Samuel TVAROŽEK, Martin SMAZINKA, Martin HAVIR et. al.

Základní údaje

Originální název

A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR

Autoři

RUSAVY, Zdenek (203 Česká republika), Veronika KOVAROVA (203 Česká republika), Samuel TVAROŽEK (703 Slovensko, domácí), Martin SMAZINKA (203 Česká republika), Martin HAVIR (203 Česká republika) a Vladimir KALIS (203 Česká republika)

Vydání

International urogynecology journal, London, Springer London, 2024, 0937-3462

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30214 Obstetrics and gynaecology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.800 v roce 2022

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1007/s00192-024-05765-9

UT WoS

001183677000001

Klíčová slova anglicky

Sacrocolpopexy; Sexuality; PISQ-IR; PISQ-12; Dyspareunia; Mesh

Štítky

14110240, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 5. 6. 2024 12:09, Mgr. Tereza Miškechová

Anotace

V originále

Introduction and Hypothesis Although laparoscopic sacrocolpopexy is a recommended procedure for sexually active women, its full impact on sexual life remains underexplored. This study is aimed at comprehensively assessing changes in the quality of sexual life and the prevalence of dyspareunia in women 1 year after laparoscopic sacrocolpopexy. Methods This prospective observational study enrolled women undergoing laparoscopic sacrocolpopexy for pelvic organ prolapse stage >= 2. Included were women with a completed Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA Revised (PISQ-IR) questionnaire before and at 1 year after surgery. Individual domains of the PISQ-IR were compared separately. Dyspareunia, single summary PISQ-IR and PISQ-12 scores were additionally compared in sexually active women. Statistical analyses included paired signed rank, Wilcoxon, Median, Chi-squared, and Fisher tests (p < 0.05). Results Between February 2015 and December 2019, a total of 333 women were included. Mean age was 61.0 +/- 11.2 and 141 (42%) reported being sexually active at baseline. At 12 months postoperatively, sexual activity was preserved in 110 (78%) of these women and an additional 26 women (14%) became sexually active. Both single-summary PISQ-IR (3.4 vs 3.6, p < 0.01) and PISQ-12 (36.0 vs 38.1, p < 0.01) scores increased significantly. The only variable that was associated with deteriorated scores postoperatively was a higher BMI. Individual domain analyses revealed significant improvement in condition-specific and condition-impact domains, except for the desire domain, which deteriorated. Prevalence of dyspareunia decreased post-surgery from 21.8% to 16.4%, p < 0.05. Newly sexually active women were older, had shorter vaginal length preoperatively, but lower PISQ-IR scores postoperatively than sexually inactive women pre- and postoperatively. Women ceasing sexual activity were older and had lower preoperative PISQ-IR scores than sexually active women pre- and postoperatively. Conclusions Although the overall rate of sexually active women and sexual desire declined 12 months after sacrocolpopexy, overall sexual function scores improved and the prevalence of dyspareunia decreased.

Citovat

RUSAVY, Zdenek, Veronika KOVAROVA, Samuel TVAROŽEK, Martin SMAZINKA, Martin HAVIR a Vladimir KALIS. A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR. International urogynecology journal. London: Springer London, 2024, roč. 35, č. 4, s. 873-880. ISSN 0937-3462. Dostupné z: https://dx.doi.org/10.1007/s00192-024-05765-9.

@article{2407937,
   author = {Rusavy, Zdenek and Kovarova, Veronika and Tvarožek, Samuel and Smazinka, Martin and Havir, Martin and Kalis, Vladimir},
   article_location = {London},
   article_number = {4},
   doi = {http://dx.doi.org/10.1007/s00192-024-05765-9},
   keywords = {Sacrocolpopexy; Sexuality; PISQ-IR; PISQ-12; Dyspareunia; Mesh},
   language = {eng},
   issn = {0937-3462},
   journal = {International urogynecology journal},
   title = {A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR},
   url = {https://link.springer.com/article/10.1007/s00192-024-05765-9},
   volume = {35},
   year = {2024}
}

TY  - JOUR
ID  - 2407937
AU  - Rusavy, Zdenek - Kovarova, Veronika - Tvarožek, Samuel - Smazinka, Martin - Havir, Martin - Kalis, Vladimir
PY  - 2024
TI  - A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR
JF  - International urogynecology journal
VL  - 35
IS  - 4
SP  - 873-880
EP  - 873-880
PB  - Springer London
SN  - 09373462
KW  - Sacrocolpopexy
KW  - Sexuality
KW  - PISQ-IR
KW  - PISQ-12
KW  - Dyspareunia
KW  - Mesh
UR  - https://link.springer.com/article/10.1007/s00192-024-05765-9
N2  - Introduction and Hypothesis Although laparoscopic sacrocolpopexy is a recommended procedure for sexually active women, its full impact on sexual life remains underexplored. This study is aimed at comprehensively assessing changes in the quality of sexual life and the prevalence of dyspareunia in women 1 year after laparoscopic sacrocolpopexy. Methods This prospective observational study enrolled women undergoing laparoscopic sacrocolpopexy for pelvic organ prolapse stage >= 2. Included were women with a completed Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA Revised (PISQ-IR) questionnaire before and at 1 year after surgery. Individual domains of the PISQ-IR were compared separately. Dyspareunia, single summary PISQ-IR and PISQ-12 scores were additionally compared in sexually active women. Statistical analyses included paired signed rank, Wilcoxon, Median, Chi-squared, and Fisher tests (p < 0.05). Results Between February 2015 and December 2019, a total of 333 women were included. Mean age was 61.0 +/- 11.2 and 141 (42%) reported being sexually active at baseline. At 12 months postoperatively, sexual activity was preserved in 110 (78%) of these women and an additional 26 women (14%) became sexually active. Both single-summary PISQ-IR (3.4 vs 3.6, p < 0.01) and PISQ-12 (36.0 vs 38.1, p < 0.01) scores increased significantly. The only variable that was associated with deteriorated scores postoperatively was a higher BMI. Individual domain analyses revealed significant improvement in condition-specific and condition-impact domains, except for the desire domain, which deteriorated. Prevalence of dyspareunia decreased post-surgery from 21.8% to 16.4%, p < 0.05. Newly sexually active women were older, had shorter vaginal length preoperatively, but lower PISQ-IR scores postoperatively than sexually inactive women pre- and postoperatively. Women ceasing sexual activity were older and had lower preoperative PISQ-IR scores than sexually active women pre- and postoperatively. Conclusions Although the overall rate of sexually active women and sexual desire declined 12 months after sacrocolpopexy, overall sexual function scores improved and the prevalence of dyspareunia decreased.
ER  -

RUSAVY, Zdenek, Veronika KOVAROVA, Samuel TVAROŽEK, Martin SMAZINKA, Martin HAVIR a Vladimir KALIS. A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR. \textit{International urogynecology journal}. London: Springer London, 2024, roč.~35, č.~4, s.~873-880. ISSN~0937-3462. Dostupné z: https://dx.doi.org/10.1007/s00192-024-05765-9.

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