E-Posters-10073

10073_Bennett

Pdf Summary

The objective of this study was to compare sexual function before and after robotic-assisted laparoscopic sacrocolpopexy (RASC). The researchers hypothesized that sexual health parameters would improve after RASC and that patients who underwent concomitant mid-urethral sling placement (MUS) would experience greater improvements in sexual function compared to those who only underwent prolapse repair. The study included consecutive patients who underwent RASC at a single institution between February 2012 and July 2016. The validated Prolapse Incontinence Sexual Function Questionnaire Short Form (PISQ-12) was administered before surgery and at follow-up visits planned at 6, 12, and 24 months post-surgery. The study found that among the 81 patients who completed the baseline PISQ-12 survey, 48 provided follow-up sexual health data at a median of 13 months after surgery. Of these, 40 reported being sexually active and completed the follow-up PISQ-12. Overall, 39 patients had both baseline and follow-up PISQ-12 scores, which showed a significant improvement in sexual function after RASC by a mean of 4.1 points. Patients who underwent concomitant MUS had a significantly larger increase in their PISQ-12 score compared to those who did not. There were also significant improvements in specific measures of sexual function, including orgasm intensity, negative emotions with sexual activity, avoiding intercourse due to bulging, and fear of incontinence. The study concluded that sexual health function significantly improved after RASC, particularly with MUS placement. The researchers recommended further research to evaluate the impact of prolapse and incontinence surgery on sexual behavior and satisfaction.

Keywords

sexual function

robotic-assisted laparoscopic sacrocolpopexy

RASC

concomitant mid-urethral sling placement

MUS

Prolapse Incontinence Sexual Function Questionnaire Short Form

PISQ-12

orgasm intensity

intercourse avoidance

sexual behavior