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RETRACTED ARTICLE

Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study.
Am J Obstet Gynecol. 2004 Jul; 191(1):206-10.AJ

Abstract

OBJECTIVE

The purpose of this study was to assess sexual function in women after surgery for stress urinary incontinence and/or pelvic organ prolapse (UI/POP) at 3 and 6 months with the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ).

STUDY DESIGN

Of 269 eligible women participating in a trial of prophylactic antibiotic use with suprapubic catheters, 102 (37.9%) agreed to participate in a sexual function study. Women underwent a variety of anti-incontinence and reconstructive surgeries. Sexual function and urinary incontinence were assessed preoperatively and at 3 and 6 months postoperatively with the PISQ and Incontinence Impact Questionnaires (IIQ-7). Paired t tests compared changes over time. Logistic regression compared worsening PISQ vs other variables. Generalized McNemar's test compared individual questions pre- and postoperatively. Significance was set at P <.05.

RESULTS

Mean age was 47.1 (23 to 85) years, and 64% of women were premenopausal. Seventy-five (74%) women completed questionnaires at 3 or 6 months. Sexual function scores declined after surgery despite improvement in IIQ-7 scores (PISQ=86 vs 78, P <.001; IIQ-7=52 vs 13, P <.001). Behavioral Emotive domain scores worsened at 3 to 6 months compared with preoperative scores, while the Physical domain improved (all P <.001). Worsening PISQ scores were independent of age, type of surgery, hysterectomy, complications, or hormonal status (logistic regression, all P <.05).

CONCLUSION

Sexual function scores in women after surgery for UI/POP do not improve despite improvement of incontinence at 3 to 6 months after surgery.

Authors+Show Affiliations

University of New Mexico and Lovelace Medical Center, Albuquerque, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Retracted Publication

Language

eng

PubMed ID

15295367

Citation

Rogers, Rebecca G., et al. "Sexual Function After Surgery for Stress Urinary Incontinence And/or Pelvic Organ Prolapse: a Multicenter Prospective Study." American Journal of Obstetrics and Gynecology, vol. 191, no. 1, 2004, pp. 206-10.
Rogers RG, Kammerer-Doak D, Darrow A, et al. Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study. Am J Obstet Gynecol. 2004;191(1):206-10.
Rogers, R. G., Kammerer-Doak, D., Darrow, A., Murray, K., Olsen, A., Barber, M., & Qualls, C. (2004). Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study. American Journal of Obstetrics and Gynecology, 191(1), 206-10.
Rogers RG, et al. Sexual Function After Surgery for Stress Urinary Incontinence And/or Pelvic Organ Prolapse: a Multicenter Prospective Study. Am J Obstet Gynecol. 2004;191(1):206-10. PubMed PMID: 15295367.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study. AU - Rogers,Rebecca G, AU - Kammerer-Doak,Dorothy, AU - Darrow,Amy, AU - Murray,Kristen, AU - Olsen,Ambre, AU - Barber,Matthew, AU - Qualls,Clifford, PY - 2004/8/6/pubmed PY - 2004/9/15/medline PY - 2004/8/6/entrez SP - 206 EP - 10 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 191 IS - 1 N2 - OBJECTIVE: The purpose of this study was to assess sexual function in women after surgery for stress urinary incontinence and/or pelvic organ prolapse (UI/POP) at 3 and 6 months with the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ). STUDY DESIGN: Of 269 eligible women participating in a trial of prophylactic antibiotic use with suprapubic catheters, 102 (37.9%) agreed to participate in a sexual function study. Women underwent a variety of anti-incontinence and reconstructive surgeries. Sexual function and urinary incontinence were assessed preoperatively and at 3 and 6 months postoperatively with the PISQ and Incontinence Impact Questionnaires (IIQ-7). Paired t tests compared changes over time. Logistic regression compared worsening PISQ vs other variables. Generalized McNemar's test compared individual questions pre- and postoperatively. Significance was set at P <.05. RESULTS: Mean age was 47.1 (23 to 85) years, and 64% of women were premenopausal. Seventy-five (74%) women completed questionnaires at 3 or 6 months. Sexual function scores declined after surgery despite improvement in IIQ-7 scores (PISQ=86 vs 78, P <.001; IIQ-7=52 vs 13, P <.001). Behavioral Emotive domain scores worsened at 3 to 6 months compared with preoperative scores, while the Physical domain improved (all P <.001). Worsening PISQ scores were independent of age, type of surgery, hysterectomy, complications, or hormonal status (logistic regression, all P <.05). CONCLUSION: Sexual function scores in women after surgery for UI/POP do not improve despite improvement of incontinence at 3 to 6 months after surgery. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/15295367/Sexual_function_after_surgery_for_stress_urinary_incontinence_and/or_pelvic_organ_prolapse:_a_multicenter_prospective_study_ DB - PRIME DP - Unbound Medicine ER -