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@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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