The Long Term Effect of Elective Colpoperineoplasty on Sexual Function in the Reproductive Aged Women in Iran.

Safieh Jamali,Athar Rasekh,Razieh Mohammadjafari,Parvin Abedi

doi:10.1155/2014/912786

Abstract

Objective. Many women are suffering from sexual dysfunction followed by vaginal laxity in their reproductive age. The aim of this study was to evaluate the long term effect of colpoperineoplasty on sexual function in Iranian reproductive aged women. Methods. This was a prospective observational study in which 79 women with vaginal laxity who were candidate for selective colpoperineoplasty in Jahrom, Iran, were recruited. Data on sexual function was collected via the Female Sexual Function (FSFI) questionnaire preoperatively, six months and 18 months after colpoperineoplasty. The paired t-test, Wilcoxon, Mann-Whitney, and Repeated Measure test were utilized for statistical purposes. Results. Seventy-six women completed the study by 18 months. The mean FSFI score changed from 24.19 ± 3.09 in baseline to 26.92 ± 3.41 after six months (P < 0.001); however dyspareunia and vaginal dryness were increased significantly. After 18 months all areas of sexual function including pain and lubrication improved significantly compared to the 6th month (P < 0.001). Sexual satisfaction was increased significantly six and 18 months after surgery (P < 0.001), and the total score of sexual function increased to 32.61 ± 1.32 after 18 months (P < 0.001). Conclusion. The long term effect of colpoperineoplasty in women who suffer from vaginal laxity is promising. It seems that patient's dissatisfaction of sexual function can be a basis for colpoperineoplasty.

Highlights

Many women in reproductive age are suffering from sexual dysfunction followed by vaginal laxity
After 18 months all areas of sexual function including pain and lubrication improved significantly compared to the 6th month of the study
The results of this study showed that all aspects of sexual function were improved after six months except for dyspareunia and lubrication

Summary

Introduction

Many women in reproductive age are suffering from sexual dysfunction followed by vaginal laxity. Normal vaginal birth and the higher number of vaginal deliveries are predisposing factors for this matter as well as pelvis organ prolapse [1]. Other predisposing factors include obesity, strenuous physical activity, and chronic coughs due to the chronic respiratory disease [2]. There is lack of standard practice in facing patients who are suffering from vaginal laxity. There is no standard method for evaluation of vaginal laxity before and after vaginal surgery and on the other hand the patient’s sexual satisfaction is very important and should be considered carefully [4]

Methods

Results

Conclusion