Non-Oral Poster 25

Abstract

OBJECTIVES: To determine if a one compartment of the vagina, when prolapsed, is associated with a greater risk of sexual dysfunction than another. MATERIALS AND METHODS: A total of 678 consecutive women presenting for evaluation from a consultative urogynecology practice completed validated questionnaires regarding pelvic floor symptoms and their quality of life. Women were categorized into three groups based on the compartment with the maximum extent of prolapse: anterior, posterior and apical. The scores for responses to the pelvic organ prolapse/urinary incontinence sexual function questionnaire (PISQ-12) were compared. RESULTS: 390 subjects did not meet criteria to be classified as a predominate compartment. Of these, 158 (41%) were sexually active and completed the PISQ-12. 288 subjects with stage 2 or greater prolapse were broken into predominate compartment. There was no difference between those with a predominant prolapsed compartment and those without in regards to who was sexually activity and completed the PISQ-12 (n = 123, 42% vs n = 158, 41%, P = 0.695). When comparing predominate anterior (n = 77) to posterior prolapse (n = 38), there was borderline statistical significance (P = 0.053) in PISQ-12 scores. When comparing the no predominate group to the anterior, posterior and apical groups no difference in sexual dysfunction was seen. CONCLUSION: A predominate prolapsed vaginal compartment may not be a predictor of sexual dysfunction.