Abstract
Female sexual dysfunction (FSD) has been reported following two procedures which impact hundreds of thousands of women each year: the mid-urethral sling (MUS) procedure to correct stress urinary incontinence, and the loop electrosurgical excision procedure (LEEP) to treat cervical dysplasia. The aspects of FSD affected following these procedures include lowered orgasm satisfaction, which impacts negatively on overall quality of life. The female periurethral tissue (FPT) and cervical tissue which are potentially being impacted by the MUS and LEEP procedures respectively, are known to contain glandular and vascular structures, as well as mixed nerve bundles. Preliminary studies have shown that both the FPT and cervical tissues may contain sensory innervation of these glandular and vascular structures, in addition to nerve bundles, which may have physiologic contribution to sexual function. The long-term goal of our research is to determine whether these procedures are negatively impacting tissues that can play a significant role in female sexual responses. The potential impact of decreased or altered sensations in a subpopulation of women undergoing MUS or LEEP procedures requires further investigation and a reassessment of current surgical practice.
Published Version
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