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Sexual function in women after rectocele repair with acellular porcine dermis graft vs site-specific rectovaginal fascia repair.

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.
AuthorsJoseph M Novi, Catherine S Bradley, Najjia N Mahmoud, Mark A Morgan, Lily A Arya
JournalInternational urogynecology journal and pelvic floor dysfunction (Int Urogynecol J Pelvic Floor Dysfunct) Vol. 18 Issue 10 Pg. 1163-9 (Oct 2007) England
PMID17216552 (Publication Type: Comparative Study, Journal Article)
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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