Abstract:

Sexual function outcomes were analyzed in a group of women (n = 78) presenting for vaginal rejuvenation/vaginoplasty procedure for a chief complaint of vaginal laxity and decreased sensation with intercourse. Outcomes were analyzed utilizing the validated Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12) before and at least 6 months after repair with vaginal rejuvenation/vaginoplasty procedure (VR). Mean age was 43.6 ± 7.9 (range 25–62), and 19 patients (24.3%) were found to have prolapse at time of initial exam and underwent vaginal vault suspension in addition to VR. Compared preoperatively and postoperatively, the overall sexual function (Total PISQ-12) statistically improved (30.3 ± 6.6 vs. 38.2 ± 5.2, P < 0.001). All individual scores statistically improved except in 3 categories in which there was no change (Q1-desire, Q5-pain, and Q11- partner premature ejaculation). Overall sexual satisfaction improved as well as subcategories of increased sexual excitement during intercourse and overall increase in intensity of orgasms. Pain with intercourse subscores were found to be no different from preoperatively to postoperatively. Previous studies have shown that sexual function improves with repair of prolapse; however, this is the first study to show improved function using a validated questionnaire in patients undergoing VR for laxity.

Authors:

Robert D. Moore, DO, FPMRS, FACOG, FACS, Director, Advanced Pelvic Surgery, Co-Director, International Urogynecology Associates, Atlanta, Georgia, and Beverly Hills, California, John R. Miklos, MD, FPMRS, FACOG, FACS, Director, , International Urogynecology Associates, Atlanta, Georgia, and Beverly Hills, California, Orawee Chinthakanan, MD, MPH, RTCOG, Female Pelvic Medicine and Reconstructive Surgery Fellow, International Urogynecology Associates, Atlanta, Georgia, and Beverly Hills, California

PMID:  24700228

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