The Influence of Successful Apical Defect Repair in Laparoscopic Sacrocolpopexy on Quality of Sexual Life.

IF 1.8 3区医学 Q3 OBSTETRICS & GYNECOLOGY

International Urogynecology Journal Pub Date : 2025-08-05 DOI:10.1007/s00192-025-06198-8

Magdalena Ziętarska-Cisak, Ewa Barcz, Andrzej Pomian, Paweł Tomasik, Wojciech Majkusiak, Maja Horosz, Franciszek Barcz, Edyta Horosz

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引用次数: 0

Abstract

Objective: Pelvic organ prolapse (POP) is a common health problem that significantly impairs quality of life, particularly in terms of sex. Our study aimed to assess the quality of sexual life of women after successful POP repair with laparoscopic sacrocolpopexy (LSC).

Methods: This prospective cohort study was aimed at assessing the influence of successful laparoscopic sacrocolpopexy on the quality of sexual life after the surgery. Pre- and postoperative examinations included the Pelvic Organ Prolapse Quantification (POPQ) scale and validated quality-of-life questionnaires. PFDI-20 and PFIQ were used to choose patients who were satisfied with the results of the surgery. The quality of sexual life of sexually active and nonactive patients was subsequently evaluated via the PISQ-IR questionnaire. Post-surgery evaluation was planned 8-12 months after the procedure.

Results: A total of 181 patients were included in the study. The mean age of the patients was 58.2±9.6 years. Patients in the sexually active group were significantly younger (55.5±9.5) than were those in the nonactive group (63.4±7.7). Follow-up visits took place 10±2.34 months after surgery. We achieved statistically significant improvements in the PFDI-20 questionnaire, particularly in the POPDI-6 section, the PFIQ-7 questionnaire, and the POPQ scale. Among sexually active women, improvements in sexual function were observed across most domains, including global quality (p = 0.003), arousal and orgasm (p < 0.001), condition impact (CI, feelings of sexual inferiority, embarrassment, or anger during sexual activity, p < 0.001), and condition-specific (CS, feelings of fear or shame during sexual activity, p < 0.001). A notable finding was the significant reduction in dyspareunia, which decreased from 12.7% to 3.3%. The study also revealed that sexual inactivity was correlated with negative self-perception, which improved significantly following surgery (CS, p = 0.04; CI, p < 0.001).

Conclusion: These findings suggest that laparoscopic sacrocolpopexy improves the quality of sexual life and leads to a reduction in dyspareunia and distress related to POP symptoms.

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腹腔镜骶骶固定术根尖缺损修复成功对性生活质量的影响。

目的：盆腔器官脱垂（POP）是一种常见的健康问题，严重影响生活质量，特别是在性方面。我们的研究旨在评估腹腔镜骶colpop固定术（LSC）成功修复POP后女性的性生活质量。方法：本前瞻性队列研究旨在评估成功的腹腔镜骶骶固定术对术后性生活质量的影响。术前和术后检查包括盆腔器官脱垂量化（POPQ）量表和有效的生活质量问卷。采用PFDI-20和PFIQ选择对手术结果满意的患者。随后通过PISQ-IR问卷评估性活跃和非性活跃患者的性生活质量。术后评估计划于术后8-12个月进行。结果：共有181例患者纳入研究。患者平均年龄58.2±9.6岁。性活跃组（55.5±9.5）明显低于非性活跃组（63.4±7.7）。术后10±2.34个月随访。我们在PFDI-20问卷，特别是在POPDI-6部分，PFIQ-7问卷和POPQ量表上取得了统计学上显著的改善。在性活跃的女性中，在大多数领域都观察到性功能的改善，包括总体质量（p = 0.003）、性唤起和性高潮（p < 0.001）、条件影响（CI，性活动中的性自卑、尴尬或愤怒感，p < 0.001）和条件特异性（CS，性活动中的恐惧或羞耻感，p < 0.001）。一个值得注意的发现是性交困难的显著减少，从12.7%下降到3.3%。研究还发现，性行为不活跃与负面自我感知相关，在手术后显著改善(CS, p = 0.04；CI, p < 0.001)。结论：这些研究结果表明，腹腔镜骶阴道固定术改善了性生活质量，减少了与POP症状相关的性交困难和痛苦。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Urogynecology Journal 医学-妇产科学

CiteScore

3.80

自引率

22.20%

发文量

406

审稿时长

3-6 weeks

期刊介绍： The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion