Abstract |
The objective of the study was to compare preoperative and postoperative sexual function between women undergoing rectocele repair with porcine dermis graft and women undergoing site-specific repair of rectovaginal fascia. A standardized, validated questionnaire (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire [PISQ]) was used to collect preoperative sexual function data from 100 patients with rectocele pelvic organ prolapse quantification stage 2 or greater. Fifty women underwent rectocele repair utilizing porcine dermis graft (group 1) and 50 women underwent a site-specific repair of the rectovaginal fascia (group 2). The same questionnaire was administered to all subjects 6 months after surgery. The two groups were similar in age, race, parity, prior hysterectomy, and postmenopausal hormone use. Preoperative sexual function scores were similar in the two groups (group 1 81.4+/-7.3 and group 2: 83.6+/-8.2, p=1.0). Six months after surgery, PISQ scores in group 1 significantly increased (score increase 19.9+/-2.2, p=0.01). The mean increase in PISQ scores for group 2 was 6.9+/-3.1 (p=0.08). When compared with group 2, subjects undergoing rectocele repair with porcine dermis graft scored significantly higher on the PISQ 6 months after surgery (group 1 101.3+/-6.4 and group 2 89.7+/-7.1, p=0.01). We conclude that rectocele repair using porcine dermis graft is associated with improved sexual functioning when compared with site-specific rectovaginal fascia repair.
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Authors | Joseph M Novi, Catherine S Bradley, Najjia N Mahmoud, Mark A Morgan, Lily A Arya |
Journal | International urogynecology journal and pelvic floor dysfunction
(Int Urogynecol J Pelvic Floor Dysfunct)
Vol. 18
Issue 10
Pg. 1163-9
(Oct 2007)
England |
PMID | 17216552
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adult
- Bioprosthesis
- Coitus
- Fascia
(transplantation)
- Female
- Humans
- Middle Aged
- Recovery of Function
- Rectocele
(psychology, surgery)
- Surveys and Questionnaires
- Transplantation, Autologous
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