E-Posters-10225_Geynisman

10225_Geynisman_Tan

Pdf Summary

This study aimed to compare sexual function and satisfaction before and after prolapse surgery in women using the Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire. It also aimed to correlate changes in GRISS scores with changes in the Pelvic Floor Distress Inventory (PFDI) and Patient Reported Outcomes Measurement Information System (PROMIS) scores. The study involved participants enrolled in a multicenter, randomized trial of post-operative activity recommendations after prolapse surgery, who were allowed to resume sexual activity six weeks post-op. The participants completed the PFDI, PROMIS, and GRISS questionnaires at baseline and three months after surgery. The GRISS questionnaire is a validated 28-item survey that assesses both physical and psychosocial aspects of sexual function, with higher scores indicating worse sexual function. Scores greater than four indicate sexual dysfunction. The PROMIS questionnaire is a 57-item survey on global health functioning. The results of the study showed that sexual function and satisfaction improved as early as 12 weeks after prolapse surgery, with a significant part of the improvement attributed to psychosocial aspects of sexual health. The study also found that higher baseline GRISS scores were associated with higher PFDI scores, and this correlation was sustained at three months. Some GRISS subscales, including partner avoidance, vaginismus, non-communication, dissatisfaction, and anorgasmia, improved after surgery. There was no difference in three-month GRISS scores between women who underwent sacralcolpopexy versus vaginal native tissue repair. Additionally, there was a significant decrease in mean anxiety scores at three months following surgery, and higher anxiety scores were associated with higher non-sensuality scores, sexual avoidance scores, and anorgasmia scores.

Keywords

sexual function

satisfaction

prolapse surgery

GRISS questionnaire

PFDI scores

PROMIS scores

psychosocial aspects

baseline scores

correlation

anxiety scores