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Sexual function after robot-assisted prolapse surgery: a prospective study.
Int Urogynecol J. 2018 Jun; 29(6):905-912.IU

Abstract

INTRODUCTION AND HYPOTHESIS

Female pelvic organ prolapse (POP) can severely influence sexual function. Robot-assisted surgery is increasingly used to treat POP, but studies describing its effect on sexual function are limited. The objective of this study was to evaluate sexual function after robot-assisted POP surgery.

METHODS

This prospective cohort study included all patients who underwent a robot-assisted sacrocolpopexy (RASC) or supracervical hysterectomy with sacrocervicopexy (RSHS). Exclusion criteria were unknown preoperative sexual activity status or concomitant surgery. In sexually active women, sexual function was measured with the translated validated version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Changes in sexual activity were scored. Prolapse stages were described using the simplified Pelvic Organ Prolapse Quantification (S-POP) system.

RESULTS

A total of 107 women were included (median follow-up 15.3 months). No difference was found in the total number of sexually active women before and after surgery [63 (58.9%) vs. 61 (63.5%), p = 0.999]. Significantly fewer women avoided sexual intercourse postoperatively compared with preoperatively. Preoperatively, sexual intercourse was avoided due to vaginal bulging (2% vs. 24%, respectively, p = 0.021). Total mean PISQ-12 scores improved significantly 1 year after prolapse correction (33.5 vs. 37.1; p = 0.004), mainly due to improved scores on the physical and behavioral-emotive domain. No significant difference in pre- and postoperative complains of dyspareunia was found.

CONCLUSION

Robot-assisted middle-compartment surgery improved sexual function 1 year after surgery according to enhanced physical and emotional scores. The total number of sexually active women and complains of dyspareunia before and after surgery did not differ.

Authors+Show Affiliations

Department of Gynecology, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands. f.van.zanten@meandermc.nl. Faculty of Science and Technology, Institute of Technical Medicine, Twente University, Enschede, The Netherlands. f.van.zanten@meandermc.nl.Department of Gynecology, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands.Department of Gynecology, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands.Faculty of Science and Technology, Institute of Technical Medicine, Twente University, Enschede, The Netherlands. Department of Surgery, Meander Medical Center, Amersfoort, The Netherlands.Department of Gynecology, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29687171

Citation

van Zanten, Femke, et al. "Sexual Function After Robot-assisted Prolapse Surgery: a Prospective Study." International Urogynecology Journal, vol. 29, no. 6, 2018, pp. 905-912.
van Zanten F, Brem C, Lenters E, et al. Sexual function after robot-assisted prolapse surgery: a prospective study. Int Urogynecol J. 2018;29(6):905-912.
van Zanten, F., Brem, C., Lenters, E., Broeders, I. A. M. J., & Schraffordt Koops, S. E. (2018). Sexual function after robot-assisted prolapse surgery: a prospective study. International Urogynecology Journal, 29(6), 905-912. https://doi.org/10.1007/s00192-018-3645-z
van Zanten F, et al. Sexual Function After Robot-assisted Prolapse Surgery: a Prospective Study. Int Urogynecol J. 2018;29(6):905-912. PubMed PMID: 29687171.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual function after robot-assisted prolapse surgery: a prospective study. AU - van Zanten,Femke, AU - Brem,Cherèl, AU - Lenters,Egbert, AU - Broeders,Ivo A M J, AU - Schraffordt Koops,Steven E, Y1 - 2018/04/23/ PY - 2018/01/16/received PY - 2018/03/23/accepted PY - 2018/4/25/pubmed PY - 2019/1/18/medline PY - 2018/4/25/entrez KW - PISQ-12 KW - Pelvic organ prolapse KW - Robot-assisted KW - Sacrocervicopexy KW - Sacrocolpopexy KW - Sexual function SP - 905 EP - 912 JF - International urogynecology journal JO - Int Urogynecol J VL - 29 IS - 6 N2 - INTRODUCTION AND HYPOTHESIS: Female pelvic organ prolapse (POP) can severely influence sexual function. Robot-assisted surgery is increasingly used to treat POP, but studies describing its effect on sexual function are limited. The objective of this study was to evaluate sexual function after robot-assisted POP surgery. METHODS: This prospective cohort study included all patients who underwent a robot-assisted sacrocolpopexy (RASC) or supracervical hysterectomy with sacrocervicopexy (RSHS). Exclusion criteria were unknown preoperative sexual activity status or concomitant surgery. In sexually active women, sexual function was measured with the translated validated version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Changes in sexual activity were scored. Prolapse stages were described using the simplified Pelvic Organ Prolapse Quantification (S-POP) system. RESULTS: A total of 107 women were included (median follow-up 15.3 months). No difference was found in the total number of sexually active women before and after surgery [63 (58.9%) vs. 61 (63.5%), p = 0.999]. Significantly fewer women avoided sexual intercourse postoperatively compared with preoperatively. Preoperatively, sexual intercourse was avoided due to vaginal bulging (2% vs. 24%, respectively, p = 0.021). Total mean PISQ-12 scores improved significantly 1 year after prolapse correction (33.5 vs. 37.1; p = 0.004), mainly due to improved scores on the physical and behavioral-emotive domain. No significant difference in pre- and postoperative complains of dyspareunia was found. CONCLUSION: Robot-assisted middle-compartment surgery improved sexual function 1 year after surgery according to enhanced physical and emotional scores. The total number of sexually active women and complains of dyspareunia before and after surgery did not differ. SN - 1433-3023 UR - https://www.unboundmedicine.com/medline/citation/29687171/Sexual_function_after_robot_assisted_prolapse_surgery:_a_prospective_study_ DB - PRIME DP - Unbound Medicine ER -