The Effect of Posterior Colporrhaphy Performed Concurrently with Midurethral Sling Surgery on the Sexual Function of Women with Stress Urinary Incontinence

Abstract

Some women choose to undergo posterior colporrhaphy (PC) concurrently with procedures for SUI to regain sexual confidence and improve sexual function. We determine the effect of PC on sexual function in women requiring a midurethral sling for SUI. A total of 119 women were retrospectively reviewed 81 women had the midurethral sling alone (Group A), and 38 women voluntarily had PC concurrently with the midurethral sling (Group B). Sexual function was evaluated using the FSFI before and after surgery. THE POSTOPERATIVE COMPOSITE SCORES WERE SIGNIFICANTLY INCREASED IN BOTH GROUPS (GROUP A: p=0.02; Group B: p=0.04), and significant increases were observed in 'desire,' 'arousal' and 'satisfaction'. However, there were no significant differences in the composite score or six domainscores between the two groups. PC performed concurrently with midurethral sling for treatment of SUI does not provide any additional benefits towards improving the sexual function.