Sexual function after anterior vaginal wall prolapse surgery

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Data
2012-08-01
Autores
Feldner Junior, Paulo Cezar [UNIFESP]
Delroy, Carlos Antonio [UNIFESP]
Martins, Sérgio Brasileiro [UNIFESP]
Castro, Rodrigo de Aquino [UNIFESP]
Sartori, Marair Gracio Ferreira [UNIFESP]
Girão, Manoel João Batista Castello [UNIFESP]
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OBJECTIVE: The aim of this study was to compare female sexual function after surgical treatment of anterior vaginal prolapse with either small intestine submucosa grafting or traditional colporrhaphy. METHODS: Subjects were randomly assigned, preoperatively, to the small intestine submucosa graft (n = 29) or traditional colporrhaphy (n = 27) treatment group. Postoperative outcomes were analyzed at 12 months. The Female Sexual Function Index questionnaire was used to assess sexual function. Data were compared with independent samples or a paired Student's t-test. RESULTS: In the small intestine submucosa group, the total mean Female Sexual Function Index score increased from 15.5±7.2 to 24.4±7.5 (p<0.001). In the traditional colporrhaphy group, the total mean Female Sexual Function Index score increased from 15.3±6.8 to 24.2±7.0 (p<0.001). Improvements were noted in the domains of desire, arousal, lubrication, orgasm, satisfaction, and pain. There were no differences between the two groups at the 12-month follow-up. CONCLUSIONS: Small intestine submucosa repair and traditional colporrhaphy both improved sexual function postoperatively. However, no differences were observed between the two techniques.
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Clinics. Faculdade de Medicina / USP, v. 67, n. 8, p. 871-875, 2012.
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