Sarah Ashmore, Elizabeth J Geller, C Emi Bretschneider
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PubMed and EMBASE were searched from inception through 28 January 2024 for studies that reported sexual function following surgery for POP. Baseline and postoperative sexual activity, dyspareunia, and validated questionnaire scores for sexual function were documented.</p><p><strong>Results: </strong>Minimally invasive SCP is associated with improved postoperative sexual function, increased rates of postoperative sexual activity, and low rates of dyspareunia. Dyspareunia was not associated with mesh related complications. Patients with baseline dyspareunia or pain were more likely to experience persistent dyspareunia after surgery.</p><p><strong>Conclusion: </strong>The rates of POP are increasing in our aging population, and sexual function is very important to patients undergoing surgery for POP. Clinicians should consider all factors related to sexual function when planning surgery for POP and address dyspareunia prior to surgery. Sexual function appears to improve overall after minimally invasive SCP and de novo dyspareunia rates are low.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Minimally Invasive Sacrocolpopexy: Impact on Sexual Function.\",\"authors\":\"Sarah Ashmore, Elizabeth J Geller, C Emi Bretschneider\",\"doi\":\"10.1007/s00192-024-05834-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction and hypothesis: </strong>Sacrocolpopexy (SCP) is the gold standard surgical management of apical pelvic organ prolapse (POP), and increasingly, minimally invasive SCP is being adopted as a primary treatment for advanced uterovaginal prolapse. Patients undergoing surgery for POP consider postoperative improvement in sexual function to be a highly important outcome, and sexual dysfunction and dyspareunia severe adverse events. Therefore, it is crucial to understand the impact of minimally invasive SCP on postoperative sexual function. We aimed to analyze the current literature available to discuss the impact of minimally invasive SCP on postoperative sexual function.</p><p><strong>Methods: </strong>We performed a narrative review of minimally invasive SCP and its impact on sexual function. PubMed and EMBASE were searched from inception through 28 January 2024 for studies that reported sexual function following surgery for POP. Baseline and postoperative sexual activity, dyspareunia, and validated questionnaire scores for sexual function were documented.</p><p><strong>Results: </strong>Minimally invasive SCP is associated with improved postoperative sexual function, increased rates of postoperative sexual activity, and low rates of dyspareunia. Dyspareunia was not associated with mesh related complications. Patients with baseline dyspareunia or pain were more likely to experience persistent dyspareunia after surgery.</p><p><strong>Conclusion: </strong>The rates of POP are increasing in our aging population, and sexual function is very important to patients undergoing surgery for POP. Clinicians should consider all factors related to sexual function when planning surgery for POP and address dyspareunia prior to surgery. 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引用次数: 0
摘要
导言和假设:骶尾部阴道环切术(SCP)是治疗顶端盆腔器官脱垂(POP)的金标准手术方法,越来越多的人将微创骶尾部阴道环切术作为晚期子宫脱垂的主要治疗方法。接受 POP 手术的患者认为术后性功能的改善是非常重要的结果,而性功能障碍和排便困难则是严重的不良事件。因此,了解微创 SCP 对术后性功能的影响至关重要。我们旨在分析现有文献,讨论微创 SCP 对术后性功能的影响:我们对微创 SCP 及其对性功能的影响进行了叙述性综述。我们检索了从开始到 2024 年 1 月 28 日期间在 PubMed 和 EMBASE 上发表的有关 POP 术后性功能报告的研究。研究记录了基线和术后性活动、性生活障碍以及性功能有效问卷评分:结果:微创 SCP 与术后性功能的改善、术后性活动率的提高和性生活障碍率的降低有关。性生活障碍与网片相关并发症无关。基线存在排便障碍或疼痛的患者术后更有可能出现持续性排便障碍:结论:在我们的老龄人口中,POP 的发病率正在上升,而性功能对于接受 POP 手术的患者来说非常重要。临床医生在计划 POP 手术时应考虑与性功能相关的所有因素,并在手术前解决性生活障碍问题。微创 SCP 术后性功能似乎总体上有所改善,新出现的性功能障碍发生率很低。
Minimally Invasive Sacrocolpopexy: Impact on Sexual Function.
Introduction and hypothesis: Sacrocolpopexy (SCP) is the gold standard surgical management of apical pelvic organ prolapse (POP), and increasingly, minimally invasive SCP is being adopted as a primary treatment for advanced uterovaginal prolapse. Patients undergoing surgery for POP consider postoperative improvement in sexual function to be a highly important outcome, and sexual dysfunction and dyspareunia severe adverse events. Therefore, it is crucial to understand the impact of minimally invasive SCP on postoperative sexual function. We aimed to analyze the current literature available to discuss the impact of minimally invasive SCP on postoperative sexual function.
Methods: We performed a narrative review of minimally invasive SCP and its impact on sexual function. PubMed and EMBASE were searched from inception through 28 January 2024 for studies that reported sexual function following surgery for POP. Baseline and postoperative sexual activity, dyspareunia, and validated questionnaire scores for sexual function were documented.
Results: Minimally invasive SCP is associated with improved postoperative sexual function, increased rates of postoperative sexual activity, and low rates of dyspareunia. Dyspareunia was not associated with mesh related complications. Patients with baseline dyspareunia or pain were more likely to experience persistent dyspareunia after surgery.
Conclusion: The rates of POP are increasing in our aging population, and sexual function is very important to patients undergoing surgery for POP. Clinicians should consider all factors related to sexual function when planning surgery for POP and address dyspareunia prior to surgery. Sexual function appears to improve overall after minimally invasive SCP and de novo dyspareunia rates are low.
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