Objective: This study aimed to compare sexual function before and 1 year after laparoscopic sacrocolpopexy using a porcine dermis or a polypropylene mesh material.
Methods: This was a secondary analysis of sexual function measured before and 1 year after laparoscopic sacrocolpopexy in a group of 81 sexually active women participating in a randomized controlled trial comparing porcine dermis and polypropylene mesh. Sexual function was assessed using the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Responses to individual questions from the physical domain of the PISQ-12 were also analyzed. Additional information included the type of mesh material used and whether a concomitant suburethral sling or perineorrhaphy was performed.
Results: There was a significant postoperative improvement in total PISQ-12 scores for the entire cohort (33.2 vs 38.3, P < 0.01). Similarly, PISQ-12 scores were significantly improved in both groups (33.2 preoperative vs 37.4 one year postoperative in the porcine dermis, P < 0.01 and 33.2 vs 39.2 in the polypropylene mesh, P < 0.01). There were no differences between the 2 graft material groups. Preoperatively, 63.0% (48/76) of women reported avoiding sexual intercourse because of bulging in vagina (PISQ12-question #8), at 1 year postoperatively only 4% (3/76) had a positive response (P < 0.01). We observed a significant decrease in the number of women who reported pain during intercourse at 12 months as evidenced by the responses to the PISQ12-question #5, 47.4% (36/76) versus 26.3% (20/76) (P < 0.01). The addition of a suburethral sling or a perineorrhaphy did not negatively impact sexual function at 1 year.
Conclusions: Laparoscopic sacrocolpopexy had a positive impact on sexual function at 1 year regardless of whether a porcine dermis or a polypropylene mesh material was used.
Laparoscopic sacrocolpopexy had a significant positive impact on sexual function regardless of whether a porcine dermis or a polypropylene mesh material was used.
From the *Division of Urogynecology, Atlantic Health System, Morristown; †Division of Urogynecology, Atlantic Health System, Summit, NJ; and ‡Department of Mathematics and Statistics, Kennesaw State University, Kennesaw, GA.
Reprints: Charbel G. Salamon, MD, MS, Division of Urogynecology, Atlantic Health System, 435 South St, Suite 370, Morristown, NJ 07960. E-mail: firstname.lastname@example.org.
The authors have declared they have no conflicts of interest.
This study was funded through an unrestricted grant from CR BARD, Inc.
This study was performed in Morristown and Summit, NJ.
Recipient of the Jerome J. Hoffman Award for best postgraduate paper at the 39th AAGL Global Congress of Minimally Invasive Gynecology, November 8–12, 2010, Las Vegas, NV.