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Caruso, S., Bandiera, S., Cavallaro, A., Cianci, S., Vitale, S.G. and Rugolo, S. (2010) Quality of life and sexual changes after double transobturator tension-free approach to treat severe cystocele. European Journal of Obstetrics & Gynecology and Reproductive Biology, 151, 106-109. http://dx.doi.org/10.1016/j.ejogrb.2010.03.016

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• TITLE: The influence of prolapse surgery on sexual activity of women

  AUTHORS: Linde T. van Genugten, Paul J. Q. van der Linden

  KEYWORDS: Sexual Activity; Sexual Functioning; Pelvic Organ Prolapse; Surgery; Leiden Questionnaire

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.4 No.3, February 24, 2014

  ABSTRACT: Aims: A prospective study to assess sexual activity in patients with pelvic organ prolapse (POP) and evaluate changes in sexual functioning after surgery. Secondary outcomes were quality of life and anatomical results. Methods: Patients completed the validated Leiden Questionnaire (LQ) and the short form 36 (SF-36) pre- and two months postoperatively. SPSS 19.0 was used for statistical analysis. Results: 74 patients (average age 61.5 years) were approached, of whom 33.8% were sexually inactive due to other reasons than POP. 23 patients (average age 56.7 years) were included for further analysis. Postoperatively we found a significant improvement for orgasm during intercourse. The remaining domains didn’t change significantly. A trend is noted, indicating that sexual activity stayed unchanged in 82.6% of patients. Dyspareunia improved in 47.8% of patients, lubrication in 34.8% and sexual satisfaction in 40%. Quality of life improved in 73.9%. We found a significant improvement in POP grading. Conclusion: More than a third of the patients presenting with POP are not sexually active due to other reasons than POP. POP surgery appears to improve lubrication, dyspareunia, sexual satisfaction and orgasm during intercourse in a considerable part of patients. Furthermore, there’s no negative influence on sexual activity. POP surgery improves quality of life in the majority of patients.