Sexual function after sacrospinous fixation for vaginal vault prolapse: bad or mad?

Baumann, Marc; Salvisberg, Claudia; Mueller, Michel; Kuhn, Annette (2009). Sexual function after sacrospinous fixation for vaginal vault prolapse: bad or mad? Surgical endoscopy and other interventional techniques, 23(5), pp. 1013-7. New York, N.Y.: Springer-Verlag 10.1007/s00464-008-0108-5

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BACKGROUND: The main indication for sacrospinous ligament suspension is to correct either total procidentia, a posthysterectomy vaginal vault prolapse with an associated weak cardinal uterosacral ligament complex, or a posthysterectomy enterocele. This study aimed to evaluate sexual function and anatomic outcome for patients after sacrospinous ligament suspension. METHODS: For this study, 52 patients who had undergone sacrospinous ligament fixation during the preceding 5 years were asked to complete the Female Sexual Function Index (FSFI) questionnaire. The patients were vaginally examined using the ICS POP score, and the results were compared with their preoperative status. For statistical analysis, GraphPad for Windows, version 4.0, was used. RESULTS: The 52 patients were examined during a follow-up period of 38 months. No major intraoperative complications were noted. Recurrence of symptomatic apical descent was noted in 6% of the patients and de novo prolapse in 13.5%. Only one patient was symptomatic. Three patients experienced de novo dyspareunia, which resolved in two cases after stitch removal. Sexual function was good, rating higher than three points for each of the domains including satisfaction, lubrication, desire, orgasm, and pain. CONCLUSION: Sacrospinous ligament fixation still is a valuable option for the treatment of vaginal vault prolapse. Sexual function is satisfactory, with few cases of de novo dyspareunia.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Baumann, Marc; Mueller, Michael and Kuhn, Annette

ISSN:

0930-2794

ISBN:

18814009

Publisher:

Springer-Verlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:04

Last Modified:

26 Jun 2018 15:46

Publisher DOI:

10.1007/s00464-008-0108-5

PubMed ID:

18814009

Web of Science ID:

000265442900013

BORIS DOI:

10.7892/boris.27852

URI:

https://boris.unibe.ch/id/eprint/27852 (FactScience: 112887)

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