To evaluate the impact of concomitant midurethral
sling procedures with vaginal hysterectomy on female sexual
Methods: 42 sexually active women who underwent vaginal
hysterectomy for symptomatic uterine prolapse with a
minimum of 6 month-postoperative-follow up data were
included in this retrospective study. Twenty one of these
women were also underwent an additional midurethral
sling procedure (Transobturator Tape or Tension free Vaginal
Tape) due to urodynamically proven stress urinary incontinance.
Preoperative and postoperative sexual functions of
all women were assessed via a phone interview using Turkish
validated Pelvic Organ Prolapse/Urinary Incontinence Sexual
Function Questionnaire-12 (PISQ-12) form.
Results: Between the groups, there were no significant difference
regarding the preoperative characteristics (Table 1).
Preoperative total PISQ-12 scores were also similar. After the
surgery, PISQ-12 scores were significantly improved for both
groups, however the difference of postoperative PISQ-12
scores did not reach statistically significance (Table 2).
Conclusion: Vaginal hysterectomy due to symptomatic
uterine prolapse improves female sexual function. And
midurethral sling procedures concomitant to this operation
do not have negative impact on postoperative sexual activity.