Malanowska-Jarema Ewelina, Starczewski Andrzej, Melnyk Mariia, Fidalgo Daniel, Oliveira Dulce, Dubuisson Jean
Department of Gynecology, Endocrinology, and Gynecologic Oncology, Pomeranian Medical University, Szczecin, Poland.
Institute of Science and Innovation in Mechanical Engineering and Industrial Engineering, Faculty of Engineering, University of Porto, Porto, Portugal.
Front Med (Lausanne). 2024 Dec 6;11:1456073. doi: 10.3389/fmed.2024.1456073. eCollection 2024.
We aimed to analyze the quality of sexual life of patients with apical vaginal wall prolapse who had undergone laparoscopic lateral suspension (LLS) and laparoscopic sacrocolpopexy (LSC).
We performed a secondary analysis of sexual outcomes of a previous randomized control trial comparing LLS and LSC in 89 women with symptomatic POP stage ≥ II. We evaluated sexually active (SA) and non-sexually active women (NSA) using the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA-Revised (PISQ-IR). Women were reviewed over a period of 1 year post-surgery.
Analysis of the entire PISQ-IR questionnaire indicates that surgical treatment of POP resulted in an improvement of the quality of sexual life in 21 (80.76%) in the group of sexually active women after LSC and in 20 (83.33%) in the group of SA patients after LLS. In both groups of patients, dyspareunia was not observed.
In conclusion, the quality of sexual life in SA group of patients improved significantly after both surgical procedures. The quality of sexual life of surveyed women significantly improved after curing POP symptoms.
我们旨在分析接受腹腔镜侧方悬吊术（LLS）和腹腔镜骶骨阴道固定术（LSC）的阴道顶端脱垂患者的性生活质量。
我们对之前一项随机对照试验的性结局进行了二次分析，该试验比较了89例症状性盆腔器官脱垂（POP）≥II期女性的LLS和LSC。我们使用盆腔器官脱垂/尿失禁性功能问卷-国际尿控学会修订版（PISQ-IR）对性活跃（SA）和非性活跃女性（NSA）进行评估。术后1年对女性进行随访。
对整个PISQ-IR问卷的分析表明，POP的手术治疗使LSC后性活跃女性组中21例（80.76%）的性生活质量得到改善，LLS后SA患者组中20例（83.33%）的性生活质量得到改善。两组患者均未观察到性交困难。
总之，两组手术治疗后SA组患者的性生活质量均显著改善。治愈POP症状后，被调查女性的性生活质量显著提高。
