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Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study.

Publication ,  Journal Article
Rogers, RG; Kammerer-Doak, D; Darrow, A; Murray, K; Olsen, A; Barber, M; Qualls, C
Published in: Am J Obstet Gynecol
July 2004

OBJECTIVE: The purpose of this study was to assess sexual function in women after surgery for stress urinary incontinence and/or pelvic organ prolapse (UI/POP) at 3 and 6 months with the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ). STUDY DESIGN: Of 269 eligible women participating in a trial of prophylactic antibiotic use with suprapubic catheters, 102 (37.9%) agreed to participate in a sexual function study. Women underwent a variety of anti-incontinence and reconstructive surgeries. Sexual function and urinary incontinence were assessed preoperatively and at 3 and 6 months postoperatively with the PISQ and Incontinence Impact Questionnaires (IIQ-7). Paired t tests compared changes over time. Logistic regression compared worsening PISQ vs other variables. Generalized McNemar's test compared individual questions pre- and postoperatively. Significance was set at P <.05. RESULTS: Mean age was 47.1 (23 to 85) years, and 64% of women were premenopausal. Seventy-five (74%) women completed questionnaires at 3 or 6 months. Sexual function scores declined after surgery despite improvement in IIQ-7 scores (PISQ=86 vs 78, P <.001; IIQ-7=52 vs 13, P <.001). Behavioral Emotive domain scores worsened at 3 to 6 months compared with preoperative scores, while the Physical domain improved (all P <.001). Worsening PISQ scores were independent of age, type of surgery, hysterectomy, complications, or hormonal status (logistic regression, all P <.05). CONCLUSION: Sexual function scores in women after surgery for UI/POP do not improve despite improvement of incontinence at 3 to 6 months after surgery.

Duke Scholars

Published In

Am J Obstet Gynecol

DOI

ISSN

0002-9378

Publication Date

July 2004

Volume

191

Issue

1

Start / End Page

206 / 210

Location

United States

Related Subject Headings

  • Uterine Prolapse
  • Urinary Incontinence, Stress
  • Surveys and Questionnaires
  • Sexual Behavior
  • Prospective Studies
  • Postoperative Period
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Logistic Models
  • Humans
 

Citation

APA
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ICMJE
MLA
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Rogers, R. G., Kammerer-Doak, D., Darrow, A., Murray, K., Olsen, A., Barber, M., & Qualls, C. (2004). Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study. Am J Obstet Gynecol, 191(1), 206–210. https://doi.org/10.1016/j.ajog.2004.03.087
Rogers, Rebecca G., Dorothy Kammerer-Doak, Amy Darrow, Kristen Murray, Ambre Olsen, Matthew Barber, and Clifford Qualls. “Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study.Am J Obstet Gynecol 191, no. 1 (July 2004): 206–10. https://doi.org/10.1016/j.ajog.2004.03.087.
Rogers RG, Kammerer-Doak D, Darrow A, Murray K, Olsen A, Barber M, et al. Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study. Am J Obstet Gynecol. 2004 Jul;191(1):206–10.
Rogers, Rebecca G., et al. “Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study.Am J Obstet Gynecol, vol. 191, no. 1, July 2004, pp. 206–10. Pubmed, doi:10.1016/j.ajog.2004.03.087.
Rogers RG, Kammerer-Doak D, Darrow A, Murray K, Olsen A, Barber M, Qualls C. Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study. Am J Obstet Gynecol. 2004 Jul;191(1):206–210.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

ISSN

0002-9378

Publication Date

July 2004

Volume

191

Issue

1

Start / End Page

206 / 210

Location

United States

Related Subject Headings

  • Uterine Prolapse
  • Urinary Incontinence, Stress
  • Surveys and Questionnaires
  • Sexual Behavior
  • Prospective Studies
  • Postoperative Period
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Logistic Models
  • Humans