2017, Cilt 9, Sayı 1, Sayfa(lar) 010-013
The impact of concomitant midurethral sling procedures with vaginal hysterectomy on sexual activity
Hatice Kansu Çelik, Burcu Kısa Karakaya, Kuntay Kokanali, Orhan Aksakal, Özlem Evliyaoğlu
Zekai Tahir Burak Kadın Sağlığı ve Araştırma Hastanesi, Jinekoloji Böülmü, Ankara
Keywords: Vaginal hysterectomy, midurethral sling, sexual function

Aim: To evaluate the impact of concomitant midurethral sling procedures with vaginal hysterectomy on female sexual function.

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.