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.

Basic information

Original name

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

Authors

RUSAVY, Zdenek (203 Czech Republic), Veronika KOVAROVA (203 Czech Republic), Samuel TVAROŽEK (703 Slovakia, belonging to the institution), Martin SMAZINKA (203 Czech Republic), Martin HAVIR (203 Czech Republic) and Vladimir KALIS (203 Czech Republic)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30214 Obstetrics and gynaecology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 1.800 in 2022

Organization unit

Faculty of Medicine

DOI

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

UT WoS

001183677000001

Keywords in English

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

Abstract

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 and Vladimir KALIS. A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR. International urogynecology journal. London: Springer London, 2024, vol. 35, No 4, p. 873-880. ISSN 0937-3462. Available from: 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 and Vladimir KALIS. A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR. \textit{International urogynecology journal}. London: Springer London, 2024, vol.~35, No~4, p.~873-880. ISSN~0937-3462. Available from: https://dx.doi.org/10.1007/s00192-024-05765-9.

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