Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study

Detalhes bibliográficos
Autor(a) principal: Da Silva Medeiros, Mariana
Data de Publicação: 2024
Outros Autores: Ferronha, Frederico, Gomes , Alexia, Andrade , Vanessa, Guerra , João, Cunha, João, Gil , Miguel, Silva, Pedro, Lança , Miguel, Campos Pinheiro, Luís
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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spelling 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)
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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