Quality of Sexual Life after Native Tissue versus Polypropylene Mesh Augmented Pelvic Floor Reconstructive Surgery.

Aleksandra Kamińska,Agnieszka Kubik-Komar,Tomasz Rechberger,Joanna Filipczak,Katarzyna Skorupska,Konrad Futyma

doi:10.3390/jcm10214807

Abstract

There are still controversies around reconstructive surgeries used in POP treatment. The aim of this study was to compare the QoSL after VNTR vs. TVM surgery due to POP via the use of PISQ-12 and FSFI questionnaires. The study included a group of 121 sexually active patients qualified for reconstructive surgery due to symptomatic POP, and 50 control. The average results of PISQ-12 before and after surgery were compared using the t-test. The significance of the mean differences in demographic groups was measured using the t-test for independent samples and one-way ANOVA. The results in the demographic groups were compared using the Mann–Whitney U test and the Kruskal–Wallis test. Fifty-eight women had VNTR, while 63 had TVM. Results of PISQ-12 revealed significant improvement in the sexual life after reconstructive surgery (27.24 vs. 32.43; p < 0.001, t = 8.48) both after VNTR and TVM. There were no significant differences in the assessment of the QoSL according to PISQ-12 and FSFI results between both analyzed groups of patients (PISQ-12: VNTR vs. TVM; t-test p = 0.19 and FSFI: VNTR vs. TVM; Mann–Whitney U test p = 0.54). VNTR is the treatment of choice in the case of uncomplicated primary POP.

Highlights

Pelvic organ prolapse (POP) is defined as pelvic organ descent caused by biochemical disorders in the ligaments, fascia, and muscles of the pelvic floor that leads to the displacement of the vagina or cervix towards or outside the hymen, and even to total vaginal or uterine prolapse [1]
Results of PISQ-12 questionnaire application within the entire analyzed population revealed that significant improvement occurred in their sexual lives after reconstructive surgery both after VNTR and transvaginal polypropylene meshes (TVM) (Table 2)
The following conclusions were obtained: pelvic organ prolapse has a significant impact on the deterioration of the quality of sexual life of women

Summary

Introduction

Pelvic organ prolapse (POP) is defined as pelvic organ descent caused by biochemical disorders in the ligaments, fascia, and muscles of the pelvic floor that leads to the displacement of the vagina or cervix towards or outside the hymen, and even to total vaginal or uterine prolapse [1]. The real prevalence rate of POP is difficult to estimate as this depends to a large extent on the characteristics of the examined population, the research methods and the definition. It can, range from 3% to even 50%, whereby POP defined according to symptoms occurs in about 3%–6% of all women, compared with 41%–50% of all diagnoses made during gynecological examination [2]. Synthetic materials are widely presented in the literature [3,4,5,6,7,8] Despite this fact, it is necessary to conduct further research on the impact of the defect on the quality of female sexual life and functional disorders in patients undergoing POP surgical repair.

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