Send to

Choose Destination
See comment in PubMed Commons below
Am J Obstet Gynecol. 2006 Nov;195(5):e1-4.

Does sexual function change after surgery for stress urinary incontinence and/or pelvic organ prolapse? A multicenter prospective study.

Author information

Department of Obstetrics and Gynecology, University of New Mexico Hospital, USA.



The purpose of this study was to assess sexual function in women after surgery for stress urinary incontinence and/or pelvic organ prolapse (UI/POP) at 3 and 6 months with the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ).


Of 269 eligible women participating in a trial of prophylactic antibiotic use with suprapubic catheters, 102 (37.9%) agreed to participate in a sexual function study. Women underwent a variety of anti-incontinence and reconstructive surgeries. Sexual function and urinary incontinence were assessed preoperatively and at 3 and 6 months, postoperatively, with the PISQ and Incontinence Impact Questionnaires (IIQ-7). Paired t tests compared changes over time. Logistic regression compared worsening PISQ versus other variables. Generalized McNemar test compared individual questions preoperatively and postoperatively. Significance was set at P < .05.


Mean age was 47.1 (23-85) years, and 64% of women were premenopausal. Seventy-five (74%) women completed questionnaires at 3 or 6 months. Sexual function scores improved after surgery as did IIQ-7 scores (PISQ 89 vs 95, P < .001; IIQ-7 = 52 vs 13, P < .001). The Behavioral Emotive domain scores did not change at 3 to 6 months compared with preoperative scores P = .57), whereas the Physical domain improved (P < .001). Worsening PISQ scores were independent of age, type of surgery, hysterectomy, complications, or hormonal status (logistic regression, all P < .05).


Sexual function scores in women improve after surgery for UI/POP as did improvement of incontinence at 3 to 6 months after surgery.

[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center