Document Type : Original Article
Authors
1
Lecturer of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2
B.Sc. of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3
Ph.D. Student of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
4
Lecturer of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
5
Medical Student, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract
Introduction: Prolapse of pelvis organs and urine incontinency are some factors can cause sexual complications. Surgical interventions like anterior and posterior colporrhaphy are common to resolve these complications. So, this study was done to determine the effect of colporrhaphy on sexual function and satisfaction.
Methods: This retrospective cohort study was conducted on 100 women who were candidate for colporrhaphy in Mashhad’s state hospitals during 2009-2011. They were divided to groups. The first group underwent colporrhaphy in more than 6 months before and the other group was candidate for colporrhaphy. Two groups were asked to fill the questionnaires of demographic information, marital satisfaction scale, Pelvic Organ Prolapse /Urinary Incontinence Sexuale (PISQ), Index of Sexual Satisfaction (ISS), depression, anxiety and stress scale (DASS 21). In all sample units, operations were done in the same procedure. Data were analyzed using SPSS software version 18. P value less than 0.05 was considered significant.
Results: There was a correlation between sexual satisfaction and colporrhaphy (p=0.033), as sexual satisfaction after surgery decreased by 18%. 16 women (32%) complained of dyspareunia and 25 women (50%) complained of vaginal stenosis after colporrhaphy. However, sexual function did not change after surgery (p=0.189) and postoperative sexual function score of desire (p=0.578), arousal (p=0.470) and orgasm (p=0.408) had not significant differences with before surgery. Colporrhaphy decreased stress urinary incontinence (p=0.000).
Conclusion: Although colporrhaphy improves stress incontinence in women, but had no effects on sexual function and decreases sexual satisfaction. Colporrhaphy is better to be done only for curative purposes and in conditions such as severe and unbearable symptoms of prolapse and incontinency.
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