Sexual function after anterior vaginal wall prolapse surgery

• Autor(a) principal: Feldner Junior, Paulo Cezar [UNIFESP]
• Data de Publicação: 2012
• Outros Autores: Delroy, Carlos Antonio [UNIFESP], Martins, Sérgio Brasileiro [UNIFESP], Castro, Rodrigo de Aquino [UNIFESP], Sartori, Marair Gracio Ferreira [UNIFESP], Girão, Manoel João Batista Castello [UNIFESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.6061/clinics/2012(08)03; http://repositorio.unifesp.br/handle/11600/7218
• topic: Sexual Function; Pelvic Organ Prolapse; SIS Graft

OBJECTIVE: The aim of this study was to compare female sexual function after surgical treatment of anterior vaginal prolapse with either small intestine submucosa grafting or traditional colporrhaphy. METHODS: Subjects were randomly assigned, preoperatively, to the small intestine submucosa graft (n = 29) or traditional colporrhaphy (n = 27) treatment group. Postoperative outcomes were analyzed at 12 months. The Female Sexual Function Index questionnaire was used to assess sexual function. Data were compared with independent samples or a paired Student's t-test. RESULTS: In the small intestine submucosa group, the total mean Female Sexual Function Index score increased from 15.5±7.2 to 24.4±7.5 (p<0.001). In the traditional colporrhaphy group, the total mean Female Sexual Function Index score increased from 15.3±6.8 to 24.2±7.0 (p<0.001). Improvements were noted in the domains of desire, arousal, lubrication, orgasm, satisfaction, and pain. There were no differences between the two groups at the 12-month follow-up. CONCLUSIONS: Small intestine submucosa repair and traditional colporrhaphy both improved sexual function postoperatively. However, no differences were observed between the two techniques.