Sexual Impairment in Women Undergoing Laparoscopic Surgery for Genital Prolapse: A Hospital-Based Cohort StudyBanerjee C.a · Sachse K.a · Hellmich M.b · Fanselau C.a · Banerjee M.c · Noé G.K.a
aDepartment of Gynecology, Dormagen Hospital, Teaching Hospital of the University of Cologne, and bInstitute of Medical Statistics, Informatics and Epidemiology, University of Cologne, Cologne, and cDepartments of Orthopaedic Surgery and Traumatology Cologne Merheim, University of Witten-Herdecke, Witten, Germany
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Article / Publication Details
Introduction: No data regarding sexuality following laparoscopic prolapse surgery are available to date. Our hypothesis is that laparoscopic sacropexy does not influence sexuality negatively, whereas concomitant (vaginal) surgery negatively influences sexuality. Methods: Participants were 132 patients who underwent laparoscopic sacropexy. We compared pre- and postoperative sexual scores by 2 validated questionnaires. Results: The response rate was 84% (111/132). No change in sexual activity was reported after surgery. In the sexually active group (56.8%; 63/111) the impairment of sexuality was significantly reduced in all age groups independently of concomitant vaginal surgery. In the sexually inactive group, only 4.3% (2/48) were inactive because of vaginal symptoms before operation. After the operation these patients stayed inactive; however, 1 reported reasons unrelated to prolapse. Conclusions: Laparoscopic prolapse surgery reduces sexual impairment in sexually active patients. There appears to be no benefit for patients who are not sexually active for reasons related to the prolapse. Concomitant surgery does not affect sexual activity.
© 2010 S. Karger AG, Basel
Masters WH, Johnson VE: The human female: anatomy of sexual response. Minn Med 1960;43:31–36.
Kaplan HS: Hypoactive sexual desire. J Sex Marital Ther 1969;3:3–9.
- Basson R: Women’s sexual dysfunction: revised and expanded definitions. CMAJ 2005;172:1327–1333.
- Ghielmetti T, Kuhn P, Dreher EF, Kuhn A: Gynaecological operations: do they improve sexual life? Eur J Obstet Gynecol Reprod Biol 2006;129:104–110.
Rabinerson D, Melamed N, Glezerman M: Gynecologic pelvic surgery for benign conditions and its postoperative effect on womens’ sexuality (in Hebrew). Harefuah 2008;147:247–251.
- Zucchi A, Costantini E, Mearini L, Fioretti F, Bini V, Porena M: Female sexual dysfunction in urogenital prolapse surgery: colposacropexy vs. hysterocolposacropexy. J Sex Med 2008;5:139–145.
- Beer M, Kuhn A: Surgical techniques for vault prolapse: a review of the literature. Eur J Obstet Gynecol Reprod Biol 2005;19:144–155.
- Nygaard IE, McCreery R, Brubaker L, Connolly A, Cundiff G, Weber AM, Zyczynski H, Pelvic Floor Disorders Network: Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol 2004;104:805–823.
- Marinkovic SP, Stanton SL: Triple compartment prolapse: sacrocolpopexy with anterior and posterior mesh extensions. BJOG 2003;110:323–326.
- Wagenlehner FM, Bschleipfer T, Liedl B, Gunnemann A, Petros P, Weidner W: Surgical reconstruction of pelvic floor descent: anatomic and functional aspects. Urol Int 2010;84:1–9.
- Seigworth GR: Vaginal vault prolapse with eversion. Obstet Gynecol 1979;54:255–260.
- Banerjee C, Noé G: Laparoscopic sacropexy: an underestimated method of vaginal vault surgery. Geburtshilfe Frauenheilkd 2008;68:492–496.
- Price N, Jackson SR, Avery K, Brookes ST, Abrams P: Development and psychometric evaluation of the ICIQ Vaginal Symptoms Questionnaire: the ICIQ-VS. BJOG 2006;113:700–712.
- Jackson S, Donovan J, Brookes S, Eckford S, Swithinbank L, Abrams P: The Bristol Female Lower Urinary Tract Symptoms questionnaire: development and psychometric testing. Br J Urol 1996;77:805–812.
R Development Core Team: R – A Language and Environment for Statistical Computing. Vienna, R Foundation for Statistical Computing, 2008.
- Marszalek M, Roehlich M, Racz U, Metzenbauer M, Ponholzer A, Rauchenwald M, Madersbacher S: Sexual function after tension-free vaginal tape procedure. Urol Int 2007;78:126–129.
- Sen I, Onaran M, Tan MO, Acar C, Camtosun A, Sozen S, Bozkirli I: Evaluation of sexual function in women with overactive bladder syndrome. Urol Int 2007;78:112–115.
- Roovers JP, van der Bom A, van Leeuwen JS, Scholten P, Heintz P, van der Vaart H: Effects of genital prolapse surgery on sexuality. J Psychosom Obstet Gynaecol 2006;27:43–48.
- Jeng CJ, Yang YC, Tzeng CR, Shen J, Wang LR: Sexual functioning after vaginal hysterectomy or transvaginal sacrospinous uterine suspension for uterine prolapse: a comparison. J Reprod Med 2005;50:669–674.
Pauls RN, Silva WA, Rooney CM, Siddighi S, Kleeman SD, Dryfhout V, Karram MM: Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 2007;197: 622.e1–622.e7.
- Fatton B, Amblard J, Jacquetin B: Is hysterectomy indicated during prolapsuse treatment (in French)? Ann Urol (Paris) 2007;41:91–109.
- Rogers RG, Kammerer-Doak D, Darrow A, Nurray K, Qualls C, Olsen A, Barber M: Does sexual function change after surgery for stress urinary incontinence and/or pelvic organ prolapse? A multicenter prospective study. Am J Obstet Gynecol 2006;195:e1–e4.
- David-Montefiore E, Barranger E, Dubernard G, Nizard V, Antoine JM, Daraï E: Functional results and quality of life after bilateral sacrospinous ligament fixation for genital prolapse. Eur J Obstet Gynecol Reprod Biol 2007;132:209–213.
Brähler E, Unger U: Sexual activity in advanced age in the context of gender, family status and personality aspects: results of a representative study (in German). Z Gerontol 1994;27:110–115.
- Moreira ED, Glasser DB, King R, Duarte FG, Gingell C: Sexual difficulties and help-seeking among mature adults in Australia: results from the Global Study of Sexual Attitudes and Behaviours. Sex Health 2008;5:227–234.
- Szeverényi P, Török Z: The relationship between hysterectomy and sexual life according to the latest research (in Hungarian). Orv Hetil 2008;149:589–595.
Banerjee C, Banerjee M, Hellmich M, Noé GK: Translation and validation of the German ‘ICIQ Vaginal Symptoms Questionnaire’ (The ICIQ-VS German): an observational study. Gynecol Surg 2009;6:71–72.
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