Journal article
Placement of mid-urethral mesh slings at the time of vaginal prolapse repair does not affect post-operative sexual function or orgasm
INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol.32(3), pp.639-645
03/01/2021
DOI: 10.1007/s00192-020-04479-y
PMID: 32780171
Abstract
Introduction and hypothesis Because of the relationship between the clitoral neurovascular supply and the urethra, the dissection for placement of mid-urethral slings (MUS) may negatively impact orgasmic function. We aimed to analyze the role of MUS in orgasmic and overall sexual function in patients undergoing prolapse surgery. Methods A single institution retrospective review was performed on 157 patients undergoing prolapse surgery with and without MUS from 2008 to 2014. Pelvic Organ Prolapse Incontinence Sexual Questionnaires (PISQ-12) scores at baseline, 6, and 12 months post-operatively were compared. The difference in overall mean post-operative PISQ-12 scores at 6 and 12 months in those undergoing POP with or without MUS placement was assessed using Wilcoxon rank tests. Results Of 157 women who underwent prolapse surgery, 81 (52%) had concomitant MUS. Mean baseline PISQ-12 scores were 32 in both groups (p = 0.98). Post-operative PISQ-12 scores between the two groups did not differ at 6 (p = 0.96) or 12 months (p = 0.65). Within the MUS group, mean overall PISQ-12 scores improved at 6 (p = 0.05) and 12 months (p < 0.01). Mean overall PISQ-12 scores did not improve in patients who did not have slings placed at 6 (p = 0.10) or 12 months (p = 0.15). Orgasm frequency and intensity did not differ between the two groups at 6 (p = 0.39,p = 0.91, respectively) or 12 months (p = 0.11,p = 0.44, respectively). Conclusion MUS at the time of prolapse repair did not affect orgasmic or overall sexual function. PISQ-12 scores improved after prolapse surgery with concomitant MUS placement. Our findings may help counsel patients regarding the risk of MUS placement affecting sexual function.
Details
- Title: Subtitle
- Placement of mid-urethral mesh slings at the time of vaginal prolapse repair does not affect post-operative sexual function or orgasm
- Creators
- Annah Jean Vollstedt - Beaumont HospitalEsther Han - Orlando HealthLaura Nguyen - McMaster UniversityLauren Tennyson - Beaumont HospitalDana Beck - Beaumont HospitalLarry Sirls - Beaumont Hospital
- Resource Type
- Journal article
- Publication Details
- INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol.32(3), pp.639-645
- Publisher
- Springer Nature
- DOI
- 10.1007/s00192-020-04479-y
- PMID
- 32780171
- ISSN
- 0937-3462
- eISSN
- 1433-3023
- Number of pages
- 7
- Grant note
- Philanthropy, Ministrelli Program for Urology Research & Education (MPURE)
- Language
- English
- Date published
- 03/01/2021
- Academic Unit
- Urology
- Record Identifier
- 9984319985002771
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