Abstract
Sexual Function in Women After Rectocele Repair
Obstetrics & Gynecology, Vol.107(4 Suppl), pp.7S-7S
04/2006
Abstract
OBJECTIVE:
To compare preoperative and postoperative sexual function in women after rectocele repair with porcine dermis graft versus site-specific repair of rectovaginal fascia.
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METHODS:
A standardized, validated questionnaire (Prolapse and Incontinence Sexual function Questionnaire [PISQ]) was used to collect sexual function data on 100 patients with rectocele pelvic organ prolapse quantification system stage 2 or greater at the preoperative visit and 6 months after surgery. Fifty women underwent rectocele repair utilizing porcine dermis graft (group 1), and 50 women underwent a site-specific repair of the rectovaginal fascia (group 2).
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RESULTS:
The two groups were similar in age (group 1: 56 + 13 years, group 2: 54 + 12 years), race, parity, rate of concomitant pelvic reconstructive surgical procedures, prior hysterectomy, and postmenopausal hormone use. Preoperative sexual function scores were similar in the two groups (group 1: 81.4 + 7.3, and group 2: 83.6 + 8.2; P = 1.0). Six months after surgery, there was a significant increase in PISQ scores in both groups. The mean difference in PISQ scores for group 1 was 19.9 + 2.2 (P = .01) and group 2 was 9.9 + 3.1 (P = .01). When compared with group 2, patients undergoing rectocele repair with porcine dermis graft scored significantly higher on the PISQ 6 months after surgery (group 1: 101.3 + 6.4, and group 2: 92.7 + 7.1; P = .01).
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CONCLUSION:
Use of porcine dermis graft in women undergoing rectocele repair is associated with improved sexual function comparable to site-specific rectovaginal fascia repair.
Details
- Title: Subtitle
- Sexual Function in Women After Rectocele Repair
- Creators
- Joseph Novi - Riverside Methodist Hospital, Columbus, OH (Novi)Catherine Bradley - University of Iowa, EpidemiologyGina NorthingtonNajjia MahmoudMark MorganLily Arya
- Resource Type
- Abstract
- Publication Details
- Obstetrics & Gynecology, Vol.107(4 Suppl), pp.7S-7S
- Publisher
- The American College of Obstetricians and Gynecologists
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Language
- English
- Date published
- 04/2006
- Academic Unit
- Epidemiology; Obstetrics and Gynecology; Urology
- Record Identifier
- 9983557563702771
Metrics
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