To assess sexual function outcomes in patients undergoing the transvaginal mesh (Prolift) procedure using either the standard polypropylene mesh or a hybrid mesh composed of polypropylene and absorbable poliglecaprone 25 (Monocryl) fibers (Prolift+M) for pelvic organ prolapse through a comparison of pre- and post-operative responses to the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12).
MATERIALS AND METHODS:
This is a retrospective cohort study assessing short-term sexual health as measured by the PISQ-12 following surgical correction of pelvic organ prolapse. Patients that underwent the Prolift+M surgery between 8/13/08 and 6/06/09 were included and compared to age-matched, sexually active controls that underwent the standard Prolift procedure between 2/14/05 and 6/06/09. All patients completed the PISQ-12 questionnaire and had POPQ measurements taken preoperatively and at 4 months postoperatively.
Out of a total of 102 patients who met inclusion criteria, 71 patients had completed both preoperative and postoperative PISQ forms (n = 39 standard mesh, n = 32 +M mesh). There is no significant difference in preoperative PISQ scores, age, BMI, POPQ points Ba, Bp, C and TVL (total vaginal length). There is also no significant difference in change in vaginal length from pre-op to post-op between the two groups. There is a significant improvement in postoperative sexual desire (PISQ #1), comfort with intercourse (PISQ #5), and overall sexual function (Total PISQ Score), with the hybrid mesh compared to the standard mesh at 4 months postoperatively.
Pelvic floor-related sexual health as defined by changes in the PISQ-12 improves with treatment of prolapse using the transvaginal mesh technique. This improvement appears to be greater in the short-term when a hybrid mesh composed of permanent and absorbable fibers is used when compared to the traditional all-polypropylene mesh in this small cohort study.