Sexual functioning before and after vaginal hysterectomy to treat pelvic organ prolapse and the effects of vaginal cuff closure techniques: a prospective randomised study

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dc.contributor.authorUcar, Mustafa Gazi
dc.contributor.authorIlhan, Tolgay Tuyan
dc.contributor.authorSanlikan, Fatih
dc.contributor.authorCelik, Cetin
dc.date.accessioned2020-03-26T19:26:20Z
dc.date.available2020-03-26T19:26:20Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: To evaluate sexual function in women before and after vaginal hysterectomy (VH) and to compare the effects of horizontal and vertical vaginal cuff closure on sexual function. Study Design: Women with uterine prolapse of stage 2 or higher were included to this prospective, randomized study. All patients underwent VH with McCall Culdoplasty and patients were randomized into two groups in terms of the vaginal cuff closure technique employed which is either vertically (group 1, right to left) or horizontally (group 2, anterior to posterior). Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire-12 Short Form was used to assess sexual function before and 6 months after surgery. Results: A total of 78 women participated, 37 in group 1 and 41 in group 2. Significant improvements in were thus evident in both groups 1 (p = 0.000) and 2 (p = 0.000) after surgery; no significant between group differences were evident. Overall, 61 women (78,2%) had improved PISA-12 scores postoperatively, 11 (14,1%) scored the same pre- and post-operatively, and 6 (7,9%) scored lower postoperatively. Women who reported poorer sexual function postoperatively, or no improvement, had new-onset or worsening dyspareunia and/or incontinence. Conclusion: Most women with uterine prolapse of stage 2 or higher who underwent VH with prolapse repair experienced improved sexual lives postoperatively, regardless of the cuff closure technique used. Although VH to treat POP improves anatomical and sexual concerns, surgery per se may have negative effects on sexual function if new-onset or worsening dyspareunia or incontinence develop. (C) 2016 Elsevier Ireland Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.ejogrb.2016.08.041en_US
dc.identifier.endpage5en_US
dc.identifier.issn0301-2115en_US
dc.identifier.issn1872-7654en_US
dc.identifier.pmid27612212en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.ejogrb.2016.08.041
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33991
dc.identifier.volume206en_US
dc.identifier.wosWOS:000388776000001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherELSEVIERen_US
dc.relation.ispartofEUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectPelvic floor disordersen_US
dc.subjectFemale sexual dysfunctionen_US
dc.subjectPelvic organ prolapseen_US
dc.subjectVaginal hysterectomyen_US
dc.subjectCuff closureen_US
dc.titleSexual functioning before and after vaginal hysterectomy to treat pelvic organ prolapse and the effects of vaginal cuff closure techniques: a prospective randomised studyen_US
dc.typeArticleen_US

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