Pelvic Organ Prolapse and Sexual Function

Overview

Journal Nat Rev Urol

Specialty Urology

Date 2020 Jun 20

PMID 32555435

Citations 18

Authors

Brigitte Fatton

Renaud de Tayrac

Vincent Letouzey

Stephanie Huberlant

Affiliations

Soon will be listed here.

Abstract

Sexual dysfunction is one of the symptoms associated with pelvic organ prolapse (POP) that motivates women to seek medical help. Women with POP are likely to restrict sexual activity owing to a perceived of loss of attractiveness and fear of incontinence. Conservative (pelvic floor muscles training or pessary) or surgical management (transabdominally or transvaginally) can be offered to treat POP but questions remain regarding sexual outcome. Despite the usual improvement in sexual function after surgery, a risk of de novo dyspareunia exists irrespective of the procedure used with slightly increased risk after transvaginal repair. Preoperative patient counselling, ideally with a cross-disciplinary approach is an important part of management of POP.

Citing Articles

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Long-Term Self-Management of Vaginal Cube Pessaries Can Improve Sexual Life in Patients with Pelvic Organ Prolapse, Results from a Secondary Analysis.

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References

Fatton B . [Sexual outcome after pelvic organ prolapse surgery]. Prog Urol. 2009; 19(13):1037-59. DOI: 10.1016/j.purol.2009.10.001. View

Nygaard I, Barber M, Burgio K, Kenton K, Meikle S, Schaffer J . Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008; 300(11):1311-6. PMC: 2918416. DOI: 10.1001/jama.300.11.1311. View

Achtari C, Dwyer P . Sexual function and pelvic floor disorders. Best Pract Res Clin Obstet Gynaecol. 2005; 19(6):993-1008. DOI: 10.1016/j.bpobgyn.2005.08.012. View

Verbeek M, Hayward L . Pelvic Floor Dysfunction And Its Effect On Quality Of Sexual Life. Sex Med Rev. 2019; 7(4):559-564. DOI: 10.1016/j.sxmr.2019.05.007. View

Rogers R, Rockwood T, Constantine M, Thakar R, Kammerer-Doak D, Pauls R . A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR). Int Urogynecol J. 2013; 24(7):1091-103. DOI: 10.1007/s00192-012-2020-8. View

Slieker-Ten Hove M, Pool-Goudzwaard A, Eijkemans M, Steegers-Theunissen R, Burger C, Vierhout M . The prevalence of pelvic organ prolapse symptoms and signs and their relation with bladder and bowel disorders in a general female population. Int Urogynecol J Pelvic Floor Dysfunct. 2009; 20(9):1037-45. PMC: 2721135. DOI: 10.1007/s00192-009-0902-1. View

Handa V, Garrett E, Hendrix S, Gold E, Robbins J . Progression and remission of pelvic organ prolapse: a longitudinal study of menopausal women. Am J Obstet Gynecol. 2004; 190(1):27-32. DOI: 10.1016/j.ajog.2003.07.017. View

Nygaard I, Bradley C, Brandt D . Pelvic organ prolapse in older women: prevalence and risk factors. Obstet Gynecol. 2004; 104(3):489-97. DOI: 10.1097/01.AOG.0000136100.10818.d8. View

Zeleke B, Bell R, Billah B, Davis S . Symptomatic pelvic floor disorders in community-dwelling older Australian women. Maturitas. 2016; 85:34-41. DOI: 10.1016/j.maturitas.2015.12.012. View

10.

Samuelsson E, Victor F, Tibblin G, Svardsudd K . Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol. 1999; 180(2 Pt 1):299-305. DOI: 10.1016/s0002-9378(99)70203-6. View

11.

Tegerstedt G, Maehle-Schmidt M, Nyren O, Hammarstrom M . Prevalence of symptomatic pelvic organ prolapse in a Swedish population. Int Urogynecol J Pelvic Floor Dysfunct. 2005; 16(6):497-503. DOI: 10.1007/s00192-005-1326-1. View

12.

Vierhout M, Stoutjesdijk J, Spruijt J . A comparison of preoperative and intraoperative evaluation of patients undergoing pelvic reconstructive surgery for pelvic organ prolapse using the Pelvic Organ Prolapse Quantification System. Int Urogynecol J Pelvic Floor Dysfunct. 2005; 17(1):46-9. DOI: 10.1007/s00192-005-1347-9. View

13.

Dietz H . Pelvic organ prolapse - a review. Aust Fam Physician. 2015; 44(7):446-52. View

14.

Machin S, Mukhopadhyay S . Pelvic organ prolapse: review of the aetiology, presentation, diagnosis and management. Menopause Int. 2011; 17(4):132-6. DOI: 10.1258/mi.2011.011108. View

15.

Vergeldt T, Weemhoff M, IntHout J, Kluivers K . Risk factors for pelvic organ prolapse and its recurrence: a systematic review. Int Urogynecol J. 2015; 26(11):1559-73. PMC: 4611001. DOI: 10.1007/s00192-015-2695-8. View

16.

Iglesia C, Smithling K . Pelvic Organ Prolapse. Am Fam Physician. 2017; 96(3):179-185. View

17.

Ellerkmann R, Cundiff G, Melick C, Nihira M, Leffler K, Bent A . Correlation of symptoms with location and severity of pelvic organ prolapse. Am J Obstet Gynecol. 2001; 185(6):1332-7; discussion 1337-8. DOI: 10.1067/mob.2001.119078. View

18.

Lowenstein E, Ottesen B, Gimbel H . Incidence and lifetime risk of pelvic organ prolapse surgery in Denmark from 1977 to 2009. Int Urogynecol J. 2014; 26(1):49-55. DOI: 10.1007/s00192-014-2413-y. View

19.

Smith F, Holman C, Moorin R, Tsokos N . Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010; 116(5):1096-100. DOI: 10.1097/AOG.0b013e3181f73729. View

20.

Wu J, Matthews C, Conover M, Pate V, Funk M . Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet Gynecol. 2014; 123(6):1201-1206. PMC: 4174312. DOI: 10.1097/AOG.0000000000000286. View