Abstract
Objectives. To address the issue of sexual dysfunction after vaginal surgery for incontinence based on responses to a mailed questionnaire.Methods. A sexual function questionnaire was mailed to 93 women who underwent anterior vaginal wall suspension for stress urinary incontinence alone (group 1) or in conjunction with a concomitant posterior repair (group 2) at least 1 year previously.Results. A total of 56 (60%) women responded. Following surgery, 10 (37%) women in group 1 reported themselves as sexually active and 12 (41%) in group 2, which was similar to preoperative values. Only 1 woman in group 1 and 3 women in group 2 attributed their sexual inactivity to their own lack of desire or inability to have intercourse. Overall, 20% of women noted pain during intercourse, a finding slightly lower than the preoperative incidence (29%). No difference in the incidence of dyspareunia was noted between groups. Still, several women (18%) reported intercourse to be worse following surgery. Women who were either premenopausal or on hormone replacement therapy were more likely to be sexually active following surgery (46%) than those not on hormone replacement (17%).Conclusions. Overall, the percentage of women who were sexually active did not appear to be affected by a vaginal suspension procedure for incontinence. Symptomatic vaginal narrowing was rare, even among women undergoing simultaneous posterior repair. Still, nearly 20% of women considered intercourse to be worse postoperatively, although not all women reported dyspareunia. The possible causes for postoperative sexual dysfunction require further investigation. Copyright (C) 2000 Elsevier Science Inc.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 223-227 |
| Number of pages | 5 |
| Journal | Urology |
| Volume | 56 |
| Issue number | 2 |
| DOIs | |
| State | Published - Aug 2000 |
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ASJC Scopus subject areas
- Urology
Cite this
Sexual function after vaginal surgery for stress incontinence : Results of a mailed questionnaire. / Lemack, Gary E.; Zimmern, Philippe E.
In: Urology, Vol. 56, No. 2, 08.2000, p. 223-227.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Sexual function after vaginal surgery for stress incontinence
T2 - Results of a mailed questionnaire
AU - Lemack, Gary E.
AU - Zimmern, Philippe E.
PY - 2000/8
Y1 - 2000/8
N2 - Objectives. To address the issue of sexual dysfunction after vaginal surgery for incontinence based on responses to a mailed questionnaire.Methods. A sexual function questionnaire was mailed to 93 women who underwent anterior vaginal wall suspension for stress urinary incontinence alone (group 1) or in conjunction with a concomitant posterior repair (group 2) at least 1 year previously.Results. A total of 56 (60%) women responded. Following surgery, 10 (37%) women in group 1 reported themselves as sexually active and 12 (41%) in group 2, which was similar to preoperative values. Only 1 woman in group 1 and 3 women in group 2 attributed their sexual inactivity to their own lack of desire or inability to have intercourse. Overall, 20% of women noted pain during intercourse, a finding slightly lower than the preoperative incidence (29%). No difference in the incidence of dyspareunia was noted between groups. Still, several women (18%) reported intercourse to be worse following surgery. Women who were either premenopausal or on hormone replacement therapy were more likely to be sexually active following surgery (46%) than those not on hormone replacement (17%).Conclusions. Overall, the percentage of women who were sexually active did not appear to be affected by a vaginal suspension procedure for incontinence. Symptomatic vaginal narrowing was rare, even among women undergoing simultaneous posterior repair. Still, nearly 20% of women considered intercourse to be worse postoperatively, although not all women reported dyspareunia. The possible causes for postoperative sexual dysfunction require further investigation. Copyright (C) 2000 Elsevier Science Inc.
AB - Objectives. To address the issue of sexual dysfunction after vaginal surgery for incontinence based on responses to a mailed questionnaire.Methods. A sexual function questionnaire was mailed to 93 women who underwent anterior vaginal wall suspension for stress urinary incontinence alone (group 1) or in conjunction with a concomitant posterior repair (group 2) at least 1 year previously.Results. A total of 56 (60%) women responded. Following surgery, 10 (37%) women in group 1 reported themselves as sexually active and 12 (41%) in group 2, which was similar to preoperative values. Only 1 woman in group 1 and 3 women in group 2 attributed their sexual inactivity to their own lack of desire or inability to have intercourse. Overall, 20% of women noted pain during intercourse, a finding slightly lower than the preoperative incidence (29%). No difference in the incidence of dyspareunia was noted between groups. Still, several women (18%) reported intercourse to be worse following surgery. Women who were either premenopausal or on hormone replacement therapy were more likely to be sexually active following surgery (46%) than those not on hormone replacement (17%).Conclusions. Overall, the percentage of women who were sexually active did not appear to be affected by a vaginal suspension procedure for incontinence. Symptomatic vaginal narrowing was rare, even among women undergoing simultaneous posterior repair. Still, nearly 20% of women considered intercourse to be worse postoperatively, although not all women reported dyspareunia. The possible causes for postoperative sexual dysfunction require further investigation. Copyright (C) 2000 Elsevier Science Inc.
UR - http://www.scopus.com/inward/record.url?scp=0033915288&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033915288&partnerID=8YFLogxK
U2 - 10.1016/S0090-4295(00)00626-9
DO - 10.1016/S0090-4295(00)00626-9
M3 - Article
C2 - 10925082
AN - SCOPUS:0033915288
VL - 56
SP - 223
EP - 227
JO - Urology
JF - Urology
SN - 0090-4295
IS - 2
ER -