Changes in vaginal anatomy and sexual function after vaginal surgery
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Introduction and hypothesis
The study’s objectives were to determine changes in vaginal length and caliber after vaginal surgery and to correlate changes with sexual function.
This prospective study measured vaginal length and caliber before and immediately after vaginal surgery and at 5- to 8-week follow-up. A sexual function questionnaire was administered preoperatively and 6 months postoperatively.
Ninety-two women were enrolled (mean age, 64 years); 44 (47.8%) were sexually active. The most common procedure was Mayo-McCall culdoplasty in 85 women (92.4%). Fourteen (15.2%) had intentional vaginal shortening and narrowing (coning). Mean vaginal length changed from 10.4 cm preoperatively to 8.7 cm at 5- to 8-week follow-up in women not having coning. Mean vaginal caliber changed from 3.2 to 2.8 cm. Preoperative and postoperative sexual function questionnaire scores did not correlate with vaginal measurements.
Vaginal shortening and narrowing occurred after vaginal surgery; sexual function was unchanged.
KeywordsGynecologic surgical procedures Pelvic organ prolapse Sexual dysfunction, physiological Urinary incontinence Vagina
Body mass index
Female sexual dysfunction
Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12
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