Influence of Simple and Radical Cystectomy on Sexual Function and Pelvic Organ Prolapse in Female Patients: A Scoping Review of the Literature.

Abstract

Despite the high risk for sexual dysfunction and pelvic organ prolapse after cystectomy and urinary diversion, a paucity of data and attention to these issues exists in women. This is in stark contrast to the attention paid to male sexual function undergoing similar urologic procedures. As survivorship from bladder cancer improves, appropriate assessment and treatment of these quality of life conditions are needed. Whereas consideration of surgical approach and technique on male outcomes is widespread, female outcomes are lacking in comparison. This scoping review evaluates sexual function and postoperative vaginal support in women undergoing cystectomy for benign and malignant diseases of the bladder. This article reviews current evidence regarding sexual function and pelvic organ prolapse in women undergoing cystectomy and the potential impact of choice of urinary diversion on these outcomes. We conducted a systematic literature review of sexual dysfunction and pelvic organ prolapse after cystectomy and urinary diversion. 73 relevant articles were reviewed regarding sexual dysfunction and pelvic organ prolapse after cystectomy. This review discusses key quality-of-life outcomes, the role of surgical approach, the importance of evaluation and counseling, and future directions in the field. Our internal review highlights the urgent need to raise awareness among providers regarding the adverse impact of cystectomy on these important quality-of-life issues. Voigt M, Hemal K, Matthews C. Influence of Simple and Radical Cystectomy on Sexual Function and Pelvic Organ Prolapse in Female Patients: A Scoping Review of the Literature. Sex Med Rev 2019;7:408-415.