Changes in vaginal anatomy and sexual function after vaginal surgery

  • John A. Occhino
  • Emanuel C. Trabuco
  • Christine A. Heisler
  • Christopher J. Klingele
  • John B. Gebhart
Original Article

Abstract

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.

Methods

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.

Results

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.

Conclusions

Vaginal shortening and narrowing occurred after vaginal surgery; sexual function was unchanged.

Keywords

Gynecologic surgical procedures Pelvic organ prolapse Sexual dysfunction, physiological Urinary incontinence Vagina 

Abbreviations

BMI

Body mass index

FSD

Female sexual dysfunction

PISQ-12

Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12

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Copyright information

© The International Urogynecological Association 2011

Authors and Affiliations

  • John A. Occhino
    • 1
  • Emanuel C. Trabuco
    • 1
  • Christine A. Heisler
    • 1
  • Christopher J. Klingele
    • 1
  • John B. Gebhart
    • 1
  1. 1.Division of Gynecologic SurgeryMayo ClinicRochesterUSA

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