Female sexual dysfunction following vaginal surgery: Myth or reality?

Current Urology Reports

Volumn 5, Issue 5, 2004, Pages 403-411

  Tunuguntla, Hari S G R ^b   Gousse, Angelo E ^a  

^a UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE   (United States)

^b NONE

Author keywords

Female Sexual Dysfunction; Pelvic Organ Prolapse; Sexual Dysfunction; Sexual Function; Stress Urinary Incontinence

Indexed keywords

FEMALE; FEMALE GENITAL SYSTEM; GYNECOLOGIC SURGERY; HUMAN; INNERVATION; POSTOPERATIVE COMPLICATION; PROSPECTIVE STUDY; REVIEW; SEXUAL DYSFUNCTION; STRESS INCONTINENCE; UTERUS PROLAPSE; VAGINA;

FEMALE; GENITALIA, FEMALE; GYNECOLOGIC SURGICAL PROCEDURES; HUMANS; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; SEXUAL DYSFUNCTION, PHYSIOLOGICAL; URINARY INCONTINENCE, STRESS; UTERINE PROLAPSE; VAGINA;

EID: 16644366014     PISSN: 15272737     EISSN: 15346285     Source Type: Journal    
DOI: 10.1007/s11934-004-0091-x     Document Type: Article

References (34)

1. Kaplan HS: The New Sex Therapy. London: Bailliere Tindall; 1974.
2. Goldstein I, Berman JR: Vasculogenic female sexual dysfunction: vaginal engorgement and clitoral insufficiency syndromes. Int J Impot Res 1998, 10:S84-S90.
3. Yucel S, de Souza A Jr, Baskin LS: Neuroanatomy of the human female lower urogenital tract. J Urol 2004, 172:191–195. This recently published article describes the distribution of autonomic nerves immunoreactive to nNOS and vesicular acetylcholine transporter (specific for cholinergic nerves) and gives an excellent description of intrapelvic nerve supply applicable to pelvic floor surgery. DOI: 10.1097/01.ju.0000128704.51870.87
4. Haase P, Skibsted L: Influence of operations for stress incontinence and/or genital descensus on sexual life. Acta Obstet Gynecol Scand 1988, 67:659–661.
5. Black NA, Bowling A, Griffiths JM, et al.: Impact of surgery for stress incontinence on the social lives of women. Br J Obstet Gynaecol 1998, 105:605–612.
6. Lemack GE, Zimmern PE: Sexual function after vaginal surgery for stress incontinence: results of a mailed questionnaire. Urology 2000, 56:223–227. In this landmark article, the authors discuss the incidence of sexual dysfunction following different surgical procedures for stress incontinence such as colposuspension, colpourethropexy, Burch procedure, retropubic urethropexy, or pubococcygeal repair. They also discussed the effect of surgery on different aspects of sexual function in sexually active women and in those with sexual dysfunction. The paper also discusses whether there is any role for hormone replacement therapy on sexual function in postmenopausal women and whether there is any difference in the incidence of sexual dysfunction between premenopausal and postmenopausal women after surgery for stress urinary incontinence. DOI: 10.1016/S0090-4295(00)00626-9
7. Paraiso MF, Ballard LA, Walters MD, et al.: Pelvic support defects and visceral and sexual function in women treated with sacrospinous ligament suspension and pelvic reconstruction. Am J Obstet Gynecol 1996, 175:1423–1431. DOI: 10.1016/S0002-9378(96)70085-6
8. Holley RL, Varner RE, Gleason BP, et al.: Sexual function after sacrospinous ligament fixation for vaginal vault prolapse. J Reprod Med 1996, 41:355–358.
9. Berglund AL, Eisemann M, Lalos O: Personality characteristics of stress incontinent women: a pilot study. J Psychosom Obstet Gynaecol 1994, 15:165–170.
10. Strauss B, Jakel I, Koch-Dorfler M, et al.: Psychiatric and sexual sequelae of hysterectomy: a comparison of different surgical methods. Geburtshilfe Frauenheilkd 1996, 56:473–481.
11. Francis WJ, Jeffcoate TN: Dyspareunia following vaginal operations. J Obstet Gynaecol Br Commonw 1961, 68:1–10.
12. Weber AM, Walters MD, Piedmonte MR: Sexual function and vaginal anatomy in women before and after surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 2000, 182:1610–1615. In this important article, the authors reported that combined Burch colposuspension and posterior colporrhaphy is particularly likely to result in dyspareunia and they highlight the contribution of posterior vaginal ridge to sexual dysfunction following posterior colporrhaphy. They also conclude that vaginal dryness is not related to postoperative vaginal dimensions or the woman’s perception of vaginal length/introital caliber. Vaginal dimensions, although decreased after surgery, did not correlate with any change in sexual function in their experience. DOI: 10.1067/mob.2000.107436
13. Kahn MA, Stanton SL: Posterior colporrhaphy: its effects on bowel and sexual function. Br J Obstet Gynaecol 1997, 104:82–86.
14. Barber MD, Visco AG, Wyman JF, et al., for the Continence Program for Women Research Group: Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstet Gynecol 2002, 99:281–289. DOI: 10.1016/S0029-7844(01)01727-6
15. Porter WE, Steele A, Walsh P, et al.: The anatomic and functional outcomes of defect-specific rectocele repairs. Am J Obstet Gynecol 1999, 181:1353–1358. DOI: 10.1016/S0002-9378(99)70376-5
16. Maaita M, Bhaumik J, Davies AE: Sexual function after using tension-free vaginal tape for the surgical treatment of genuine stress incontinence. BJU Int 2002, 90:540–543. This important article discusses the incidence of sexual function following TVT procedure based on a questionnaire. There was no significant sexual dysfunction following TVT in their patients. DOI: 10.1046/j.1464-410X.2002.02976.x
17. Yeni E, Unal D, Verit A, et al.: The effect of tension-free vaginal tape (TVT) procedure on sexual function in women with stress urinary incontinence. Int Urogynecol J 2003, 14:390–394. In this paper, the authors discuss the sexual dysfunction following TVT in terms of Index of Female Sexual Function 6 months after surgery. They compared the sexual function in their patients with control subjects and concluded that TVT negatively affected the sexual function in their patients compared with control subjects and discuss the role of vaginal lubrication and genital sensation in orgasm. DOI: 10.1007/s00192-003-1100-1
18. Rogers R, Kammerer-Doak D, Darrow A, et al.: Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study. Poster Presented at the American Urogynecologic Society 2003 Scientific Meeting. Hollywood, FL: September 11–13, 2003. In this paper, the authors discuss the sexual dysfunction following TVT in terms of Index of Female Sexual Function 6 months after surgery. They compared the sexual function in their patients with control subjects and concluded that TVT negatively affected the sexual function in their patients compared with control subjects and discuss the role of vaginal lubrication and genital sensation in orgasm.
19. Kobashi KC, Govier FE: Management of vaginal erosion of polypropylene mesh slings. J Urol 2003, 169:2242–2243. DOI: 10.1097/01.ju.0000060119.43064.f6
20. Sweat SD, Itano NB, Clemens JQ, et al.: Polypropylene mesh tape for stress urinary incontinence: complications of urethral erosion and outlet obstruction. J Urol 2002, 168:144–146. DOI: 10.1016/S0022-5347(05)64848-3
21. Sloan D: The emotional and psychosexual aspects of hysterectomy. Am J Obstet Gynecol 1978, 131:598–605.
22. Rhodes JC, Kjerulff KH, Langenberg PW, Guzinski GM: Hysterectomy and sexual functioning. JAMA 1999, 282:1934–1941. DOI: 10.1001/jama.282.20.1934
23. Helstrom L, Lundberg PO, Sorbom D, Backstrom T: Sexuality after hysterectomy: a factor analysis of women’s sexual lives before and after subtotal hysterectomy. Obstet Gynecol 1993, 81:357–362.
24. Helstrom L, Sorbom D, Backstrom T: Influence of partner relationship on sexuality after subtotal hysterectomy. Acta Obstet Gynecol Scand 1995, 74:142–146.
25. Kilkku P, Gronroos M, Hirvonen T, Rauramo L: Supravaginal uterine amputation vs. hysterectomy: effects on libido and orgasm. Acta Obstet Gynecol Scand 1983, 62:147–152. DOI: 10.3109/00016348309155779
26. Virtanen H, Makinen J, Tenho T, et al.: Effects of abdominal hysterectomy on urinary and sexual symptoms. Br J Urol 1993, 72:868–872.
27. Polivy J: Psychological reactions to hysterectomy: a critical review. Am J Obstet Gynecol 1974, 118:417–426.
28. Smith PH, Ballantyne B: The neuroanatomical basis of denervation of the urinary bladder following major pelvic surgery. Br J Surg 1968, 55:929–933. DOI: 10.1002/bjs.1800551212
29. Parys BT, Haylen B, Hutton JL, Parsons KF: The effect of simple hysterectomy on vesicourethral function. Br J Urol 1989, 64:594–599. DOI: 10.1111/j.1464-410X.1989.tb05316.x
30. Dragisic KG, Milad MP: Sexual functioning and patient expectations of sexual functioning after hysterectomy. Am J Obstet Gynecol 2004, 190:1416–1418. DOI: 10.1016/j.ajog.2004.01.070
31. Petrou SP, Joyce J, Parra RO: Martius flap harvest site: patient self-perception. J Urol 2002, 167:2098–2099. DOI: 10.1016/S0022-5347(05)65093-8
32. Elkins TE, DeLancey JO, McGuire EJ: The use of modified Martius graft as an adjunctive technique in vesicovaginal and rectovaginal fistula repair. Obstet Gynecol 1990, 75:727–733.
33. Webster GD, Guranick ML, Amundsen CL: Use of the Martius labial fat pad as an adjunct in the management of urinary fistulae and urethral obstruction following anti-incontinence procedures [Abstract 335]. J Urol 2000, 163(suppl):76.
34. Liang CC, Chang SD, Soong YK: Long-term follow-up of women who underwent surgical correction for imperforate hymen. Arch Gynecol Obstet 2003, 269:5–8. DOI: 10.1007/s00404-002-0423-3