Ziętarska-Cisak Magdalena, Barcz Ewa, Pomian Andrzej, Tomasik Paweł, Majkusiak Wojciech, Horosz Maja, Barcz Franciszek, Horosz Edyta
Department of Gynaecology and Obstetrics, Faculty of Medicine Collegium Medicum, Cardinal Stefan Wyszynski University in Warsaw, Bursztynowa 2 Str., 04-749, Warsaw, Poland.
Medical University of Warsaw, Warsaw, Poland.
Int Urogynecol J. 2025 Aug 5. doi: 10.1007/s00192-025-06198-8.
Pelvic organ prolapse (POP) is a common health problem that significantly impairs quality of life, particularly in terms of sex. Our study aimed to assess the quality of sexual life of women after successful POP repair with laparoscopic sacrocolpopexy (LSC).
This prospective cohort study was aimed at assessing the influence of successful laparoscopic sacrocolpopexy on the quality of sexual life after the surgery. Pre- and postoperative examinations included the Pelvic Organ Prolapse Quantification (POPQ) scale and validated quality-of-life questionnaires. PFDI-20 and PFIQ were used to choose patients who were satisfied with the results of the surgery. The quality of sexual life of sexually active and nonactive patients was subsequently evaluated via the PISQ-IR questionnaire. Post-surgery evaluation was planned 8-12 months after the procedure.
A total of 181 patients were included in the study. The mean age of the patients was 58.2±9.6 years. Patients in the sexually active group were significantly younger (55.5±9.5) than were those in the nonactive group (63.4±7.7). Follow-up visits took place 10±2.34 months after surgery. We achieved statistically significant improvements in the PFDI-20 questionnaire, particularly in the POPDI-6 section, the PFIQ-7 questionnaire, and the POPQ scale. Among sexually active women, improvements in sexual function were observed across most domains, including global quality (p = 0.003), arousal and orgasm (p < 0.001), condition impact (CI, feelings of sexual inferiority, embarrassment, or anger during sexual activity, p < 0.001), and condition-specific (CS, feelings of fear or shame during sexual activity, p < 0.001). A notable finding was the significant reduction in dyspareunia, which decreased from 12.7% to 3.3%. The study also revealed that sexual inactivity was correlated with negative self-perception, which improved significantly following surgery (CS, p = 0.04; CI, p < 0.001).
These findings suggest that laparoscopic sacrocolpopexy improves the quality of sexual life and leads to a reduction in dyspareunia and distress related to POP symptoms.
盆腔器官脱垂（POP）是一个常见的健康问题，严重影响生活质量，尤其是在性生活方面。我们的研究旨在评估腹腔镜骶骨阴道固定术（LSC）成功修复POP后女性的性生活质量。
这项前瞻性队列研究旨在评估成功的腹腔镜骶骨阴道固定术对术后性生活质量的影响。术前和术后检查包括盆腔器官脱垂定量（POPQ）量表和经过验证的生活质量问卷。使用PFDI - 20和PFIQ来选择对手术结果满意的患者。随后通过PISQ - IR问卷评估有性生活和无性生活患者的性生活质量。术后评估计划在手术后8 - 12个月进行。
共有181名患者纳入研究。患者的平均年龄为58.2±9.6岁。有性生活组的患者（55.5±9.5岁）明显比无性生活组的患者（63.4±7.7岁）年轻。术后10±2.34个月进行随访。我们在PFDI - 20问卷，特别是POPDI - 6部分、PFIQ - 7问卷和POPQ量表方面取得了具有统计学意义的改善。在有性生活的女性中，大多数领域的性功能都有改善，包括总体质量（p = 0.003）、性唤起和性高潮（p < 0.001）、状况影响（CI，性生活期间的性自卑、尴尬或愤怒感，p < 0.001）以及特定状况（CS，性生活期间的恐惧或羞耻感，p < 0.001）。一个显著的发现是性交困难显著减少，从12.7%降至3.3%。研究还表明，无性生活与负面自我认知相关，手术后这种情况有显著改善（CS，p = 0.04；CI，p < 0.001）。
这些发现表明，腹腔镜骶骨阴道固定术可改善性生活质量，并减少与POP症状相关的性交困难和痛苦。
