Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.24915/aup.203 |
Resumo: | Introduction: Traditional treatments for apical compartment prolapse and multicompartment prolapse, such as open sacrocolpopexy, have been associated with concerns regarding sexual function. In recent years, laparoscopic or robotically assisted sacrocolpopexy has emerged as an alternative with potential benefits, including enhanced visualization, symptom relief, and comparable anatomical results. However, the impact of laparoscopic sacrocolpopexy (LSP) on long-term sexual satisfaction in women remains an important area of investigation. This retrospective tertiary center study aimed to evaluate the long-term sexual satisfaction in women who underwent LSP for the treatment of POP. The objective was to assess postoperative sexual satisfaction among patients with a history of active sexual life before the surgery. Methods: A total of 30 patients who underwent laparoscopic sacrocolpopexy between August 2014 and December 2016 were included in the analysis. The patients’ sexual satisfaction was assessed using The New Sexual Satisfaction Scale, a validated questionnaire in the Portuguese language with a mean follow-up of 7 years. Baseline characteristics, surgical and function outcomes were also evaluated. Results: Among the participants, 70% remained sexually active after the surgery. The mean score on The New Sexual Satisfaction Scale was 75.1, indicating a moderate to very satisfied level of sexual satisfaction. Out of the patients who reported a change in their sexual satisfaction after surgery, 69.2% would still recommend the procedure to others. The mean rate of global satisfaction with the surgery was 6.97 out of 10, with 83.3% of the patients recommending the surgery to someone else. Conclusion: The study provides valuable insights into the impact of laparoscopic sacrocolpopexy on sexual well-being in women with POP. Despite potential changes in sexual function, the majority of patients remained sexually active and perceived the procedure as beneficial, expressing overall satisfaction and recommending it to others. The findings highlight the importance of considering sexual function in the management of POP and suggest that LSP can be an effective treatment option that preserves sexual activity. However, further studies with larger sample sizes and comprehensive assessments are warranted to better understand the complex relationship between pelvic organ prolapse surgery, sexual function, and patient outcomes. |
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Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center StudyAvaliação da Satisfação Sexual a Longo Prazo de Doentes Submetidas a Sacropexia Laparoscópica: Estudo Retrospectivo de um Centro TerciárioLaparoscopyPatient SatisfactionPelvic Organ Prolapse/surgerySexual BehaviorUrologic Surgical ProceduresComportamento SexualLaparoscopiaProlapso de Orgão Pélvico/cirurgiaProcedimentos Cirúrgicos UrológicosSatisfação do DoenteIntroduction: Traditional treatments for apical compartment prolapse and multicompartment prolapse, such as open sacrocolpopexy, have been associated with concerns regarding sexual function. In recent years, laparoscopic or robotically assisted sacrocolpopexy has emerged as an alternative with potential benefits, including enhanced visualization, symptom relief, and comparable anatomical results. However, the impact of laparoscopic sacrocolpopexy (LSP) on long-term sexual satisfaction in women remains an important area of investigation. This retrospective tertiary center study aimed to evaluate the long-term sexual satisfaction in women who underwent LSP for the treatment of POP. The objective was to assess postoperative sexual satisfaction among patients with a history of active sexual life before the surgery. Methods: A total of 30 patients who underwent laparoscopic sacrocolpopexy between August 2014 and December 2016 were included in the analysis. The patients’ sexual satisfaction was assessed using The New Sexual Satisfaction Scale, a validated questionnaire in the Portuguese language with a mean follow-up of 7 years. Baseline characteristics, surgical and function outcomes were also evaluated. Results: Among the participants, 70% remained sexually active after the surgery. The mean score on The New Sexual Satisfaction Scale was 75.1, indicating a moderate to very satisfied level of sexual satisfaction. Out of the patients who reported a change in their sexual satisfaction after surgery, 69.2% would still recommend the procedure to others. The mean rate of global satisfaction with the surgery was 6.97 out of 10, with 83.3% of the patients recommending the surgery to someone else. Conclusion: The study provides valuable insights into the impact of laparoscopic sacrocolpopexy on sexual well-being in women with POP. Despite potential changes in sexual function, the majority of patients remained sexually active and perceived the procedure as beneficial, expressing overall satisfaction and recommending it to others. The findings highlight the importance of considering sexual function in the management of POP and suggest that LSP can be an effective treatment option that preserves sexual activity. However, further studies with larger sample sizes and comprehensive assessments are warranted to better understand the complex relationship between pelvic organ prolapse surgery, sexual function, and patient outcomes.Introdução: O tratamento tradicional para o prolapso apical e multicompartimental, como a sacrocolpopexia aberta, tem sido associado a preocupações relacionadas à função sexual. Nos últimos anos, a sacrocolpopexia laparoscópica ou assistida por robot tem surgido como uma alternativa com potenciais benefícios, incluindo melhor visualização, alívio de sintomas e resultados anatómicos comparáveis. No entanto, o impacto da sacrocolpopexia laparoscópica (LSP) na satisfação sexual de longo prazo em mulheres é uma área de investigação importante. Este estudo retrospectivo num centro terciário teve como objetivo avaliar a satisfação sexual a longo prazo de mulheres submetidas a LSP para o tratamento do POP. O objetivo foi avaliar a satisfação sexual pós-operatória em doentes com vida sexual ativa antes da cirurgia. Métodos: Foram incluídas na análise 30 pacientes submetidas a sacrocolpopexia laparoscópica entre agosto de 2014 e dezembro de 2016. A satisfação sexual das pacientes foi avaliada através do questionário The New Sexual Satisfaction Scale, um questionário validado em língua portuguesa, com uma média de follow-up de 7 anos. Características demográficas, resultados cirúrgicos e funcionais foram avaliados. Resultados: Entre as participantes, 70% permaneceram sexualmente ativas após a cirurgia. A pontuação média em The New Sexual Satisfaction Scale foi de 75,1, indicando um nível moderado a muito satisfeito de satisfação sexual. Entre as pacientes que relataram uma mudança na sua satisfação sexual após a cirurgia, 69,2% ainda recomendariam o procedimento a outras pessoas. A taxa média de satisfação global com a cirurgia foi de 6,97 em 10, e 83,3% das pacientes recomendaram a cirurgia a outras pessoas. Conclusão: O estudo oferece insights valiosos sobre o impacto da sacrocolpopexia laparoscópica no bem-estar sexual em mulheres com POP. Apesar das possíveis mudanças na função sexual, a maioria das pacientes permaneceu sexualmente ativa e reconheceu o procedimento como benéfico, expressando satisfação geral e recomendando-o a outras pessoas. Os resultados destacam a importância de considerar a função sexual no tratamento do POP e sugerem que a LSP pode ser uma opção de tratamento eficaz que preserva a atividade sexual. No entanto, estudos adicionais com tamanhos de amostra maiores e avaliações abrangentes são necessários para compreender melhor a relação complexa entre a cirurgia de prolapso de órgãos pélvicos, função sexual e resultados do paciente.Associação Portuguesa de Urologia2024-01-11info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.24915/aup.203https://doi.org/10.24915/aup.203Acta Urológica Portuguesa; Vol. 38 No. 1-2 (2023): January - December 2021-2023; 26-32Acta Urológica Portuguesa; v. 38 n. 1-2 (2023): Janeiro - Dezembro 2021-2023; 26-322387-04192341-4022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://www.actaurologicaportuguesa.com/index.php/aup/article/view/203http://www.actaurologicaportuguesa.com/index.php/aup/article/view/203/71Copyright (c) 2023 Associação Portuguesa de Urologiahttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessDa Silva Medeiros, MarianaFerronha, FredericoGomes , AlexiaAndrade , VanessaGuerra , JoãoCunha, JoãoGil , MiguelSilva, PedroLança , MiguelCampos Pinheiro, Luís2024-03-10T07:17:23Zoai:oai.actaurologicaportuguesa.com:article/203Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:44:28.300610Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study Avaliação da Satisfação Sexual a Longo Prazo de Doentes Submetidas a Sacropexia Laparoscópica: Estudo Retrospectivo de um Centro Terciário |
title |
Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study |
spellingShingle |
Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study Da Silva Medeiros, Mariana Laparoscopy Patient Satisfaction Pelvic Organ Prolapse/surgery Sexual Behavior Urologic Surgical Procedures Comportamento Sexual Laparoscopia Prolapso de Orgão Pélvico/cirurgia Procedimentos Cirúrgicos Urológicos Satisfação do Doente |
title_short |
Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study |
title_full |
Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study |
title_fullStr |
Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study |
title_full_unstemmed |
Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study |
title_sort |
Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study |
author |
Da Silva Medeiros, Mariana |
author_facet |
Da Silva Medeiros, Mariana Ferronha, Frederico Gomes , Alexia Andrade , Vanessa Guerra , João Cunha, João Gil , Miguel Silva, Pedro Lança , Miguel Campos Pinheiro, Luís |
author_role |
author |
author2 |
Ferronha, Frederico Gomes , Alexia Andrade , Vanessa Guerra , João Cunha, João Gil , Miguel Silva, Pedro Lança , Miguel Campos Pinheiro, Luís |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Da Silva Medeiros, Mariana Ferronha, Frederico Gomes , Alexia Andrade , Vanessa Guerra , João Cunha, João Gil , Miguel Silva, Pedro Lança , Miguel Campos Pinheiro, Luís |
dc.subject.por.fl_str_mv |
Laparoscopy Patient Satisfaction Pelvic Organ Prolapse/surgery Sexual Behavior Urologic Surgical Procedures Comportamento Sexual Laparoscopia Prolapso de Orgão Pélvico/cirurgia Procedimentos Cirúrgicos Urológicos Satisfação do Doente |
topic |
Laparoscopy Patient Satisfaction Pelvic Organ Prolapse/surgery Sexual Behavior Urologic Surgical Procedures Comportamento Sexual Laparoscopia Prolapso de Orgão Pélvico/cirurgia Procedimentos Cirúrgicos Urológicos Satisfação do Doente |
description |
Introduction: Traditional treatments for apical compartment prolapse and multicompartment prolapse, such as open sacrocolpopexy, have been associated with concerns regarding sexual function. In recent years, laparoscopic or robotically assisted sacrocolpopexy has emerged as an alternative with potential benefits, including enhanced visualization, symptom relief, and comparable anatomical results. However, the impact of laparoscopic sacrocolpopexy (LSP) on long-term sexual satisfaction in women remains an important area of investigation. This retrospective tertiary center study aimed to evaluate the long-term sexual satisfaction in women who underwent LSP for the treatment of POP. The objective was to assess postoperative sexual satisfaction among patients with a history of active sexual life before the surgery. Methods: A total of 30 patients who underwent laparoscopic sacrocolpopexy between August 2014 and December 2016 were included in the analysis. The patients’ sexual satisfaction was assessed using The New Sexual Satisfaction Scale, a validated questionnaire in the Portuguese language with a mean follow-up of 7 years. Baseline characteristics, surgical and function outcomes were also evaluated. Results: Among the participants, 70% remained sexually active after the surgery. The mean score on The New Sexual Satisfaction Scale was 75.1, indicating a moderate to very satisfied level of sexual satisfaction. Out of the patients who reported a change in their sexual satisfaction after surgery, 69.2% would still recommend the procedure to others. The mean rate of global satisfaction with the surgery was 6.97 out of 10, with 83.3% of the patients recommending the surgery to someone else. Conclusion: The study provides valuable insights into the impact of laparoscopic sacrocolpopexy on sexual well-being in women with POP. Despite potential changes in sexual function, the majority of patients remained sexually active and perceived the procedure as beneficial, expressing overall satisfaction and recommending it to others. The findings highlight the importance of considering sexual function in the management of POP and suggest that LSP can be an effective treatment option that preserves sexual activity. However, further studies with larger sample sizes and comprehensive assessments are warranted to better understand the complex relationship between pelvic organ prolapse surgery, sexual function, and patient outcomes. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-01-11 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.24915/aup.203 https://doi.org/10.24915/aup.203 |
url |
https://doi.org/10.24915/aup.203 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://www.actaurologicaportuguesa.com/index.php/aup/article/view/203 http://www.actaurologicaportuguesa.com/index.php/aup/article/view/203/71 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Associação Portuguesa de Urologia http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Associação Portuguesa de Urologia http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Associação Portuguesa de Urologia |
publisher.none.fl_str_mv |
Associação Portuguesa de Urologia |
dc.source.none.fl_str_mv |
Acta Urológica Portuguesa; Vol. 38 No. 1-2 (2023): January - December 2021-2023; 26-32 Acta Urológica Portuguesa; v. 38 n. 1-2 (2023): Janeiro - Dezembro 2021-2023; 26-32 2387-0419 2341-4022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799136940783566848 |