147: Sex Life after Excision of Endometriotic Lesions of the Uterosacral Ligament

Abstract

Study ObjectiveIt has been proved that deep dyspareunia (DD) is correlated with endometriotic lesions infiltrating the uterosacral ligament (USLE). This study aims to determine the effect laparoscopic excision of USLE on DD and quality of sex life.DesignProspective cohort study.SettingUniversity hospital.PatientsThirty-two women of reproductive age (24–40 years) suffering DD who had laparoscopic excision of USLE (the diagnosis was histologically confirmed). Immediately after surgery, all women received a 6-months treatment with GnRH analogues. None of these patients conceived during the study period.InterventionPreoperatively and at 1-year from surgery, patients completed a sexual function questionnaire based on the Sexual Satisfaction Subscale of the DSFI and rated their overall level of sexual satisfaction (GSSI). DD intensity was determined by using a 100-mm visual analogue scale.Measurements and Main ResultsAt 1 year follow-up, 34.4% of the women had no DD and 43.8% of the patients had DD intensity decreased. Patients had more intercourses per week, more satisfying orgasms, were more relaxed and fulfilled after sex, less frequently interrupted the intercourses because of pain; the GSSI was improved.ConclusionLaparoscopic excision of USLE determines not only a decrease in DD prevalence and intensity but also an improvement in sexual life. Study ObjectiveIt has been proved that deep dyspareunia (DD) is correlated with endometriotic lesions infiltrating the uterosacral ligament (USLE). This study aims to determine the effect laparoscopic excision of USLE on DD and quality of sex life. It has been proved that deep dyspareunia (DD) is correlated with endometriotic lesions infiltrating the uterosacral ligament (USLE). This study aims to determine the effect laparoscopic excision of USLE on DD and quality of sex life. DesignProspective cohort study. Prospective cohort study. SettingUniversity hospital. University hospital. PatientsThirty-two women of reproductive age (24–40 years) suffering DD who had laparoscopic excision of USLE (the diagnosis was histologically confirmed). Immediately after surgery, all women received a 6-months treatment with GnRH analogues. None of these patients conceived during the study period. Thirty-two women of reproductive age (24–40 years) suffering DD who had laparoscopic excision of USLE (the diagnosis was histologically confirmed). Immediately after surgery, all women received a 6-months treatment with GnRH analogues. None of these patients conceived during the study period. InterventionPreoperatively and at 1-year from surgery, patients completed a sexual function questionnaire based on the Sexual Satisfaction Subscale of the DSFI and rated their overall level of sexual satisfaction (GSSI). DD intensity was determined by using a 100-mm visual analogue scale. Preoperatively and at 1-year from surgery, patients completed a sexual function questionnaire based on the Sexual Satisfaction Subscale of the DSFI and rated their overall level of sexual satisfaction (GSSI). DD intensity was determined by using a 100-mm visual analogue scale. Measurements and Main ResultsAt 1 year follow-up, 34.4% of the women had no DD and 43.8% of the patients had DD intensity decreased. Patients had more intercourses per week, more satisfying orgasms, were more relaxed and fulfilled after sex, less frequently interrupted the intercourses because of pain; the GSSI was improved. At 1 year follow-up, 34.4% of the women had no DD and 43.8% of the patients had DD intensity decreased. Patients had more intercourses per week, more satisfying orgasms, were more relaxed and fulfilled after sex, less frequently interrupted the intercourses because of pain; the GSSI was improved. ConclusionLaparoscopic excision of USLE determines not only a decrease in DD prevalence and intensity but also an improvement in sexual life. Laparoscopic excision of USLE determines not only a decrease in DD prevalence and intensity but also an improvement in sexual life.