Impact of Abdominoplasty with Diastasis Recti Correction on Female Sexual Function: A 1-Year Prospective Follow-Up Study.

Abstract

Background: Diastasis recti abdominis (DRA) is a condition commonly affecting women postpartum, often leading to functional impairments, negative body image, and reduced quality of life. While abdominoplasty with DRA correction is known to improve core stability and aesthetic outcomes, its potential impact on female sexual function remains underexplored.

Objective: This prospective study investigates the effects of conventional abdominoplasty with DRA correction on female sexual function using the validated Female Sexual Function Index (FSFI) over a 1-year follow-up period.

Methods: A total of 37 female patients with postpartum DRA (inter-rectus distance >4 cm) who underwent conventional abdominoplasty were included. Sexual function was assessed preoperatively and 12 months postoperatively using the FSFI, encompassing six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain. Patient satisfaction with the procedure was evaluated using a 5-point Likert scale. Statistical analysis was performed to identify significant changes in FSFI scores and their correlation with patient satisfaction.

Results: Postoperative FSFI scores demonstrated a significant improvement in total score (mean increase: 7.1; p < 0.005) and in the domains of arousal, orgasm, and satisfaction. Improvements in desire, lubrication, and pain were observed but not statistically significant. Higher patient satisfaction correlated with greater FSFI score improvement, although this was not statistically conclusive due to the small sample size. Notably, menopausal patients exhibited significant enhancements in overall FSFI scores (mean increase: 7.0; p < 0.005). One dissatisfied patient reported a decline in FSFI, highlighting individual variability.

Conclusions: Conventional abdominoplasty with DRA correction significantly improves sexual function in women, particularly in domains of arousal, orgasm, and satisfaction, while enhancing overall quality of life. These findings emphasize the importance of addressing functional and psychological aspects in surgical outcomes. Further research, including larger controlled studies and longer follow-up, is necessary to confirm these results and explore predictive factors for optimal outcomes.

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