Observational studyInternational urogynecology journal2013
Changes in female sexual function after pelvic organ prolapse repair: role of hysterectomy.
Observational study in International urogynecology journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- A Systematic Review of Clinical Trials Assessing Sexuality in Hysterectomized Patients.International journal of environmental research and public health · 2021Pooled it
- Hysteropreservation versus hysterectomy in the surgical treatment of uterine prolapse: systematic review and meta-analysis.International urogynecology journal · 2017Pooled it
- Biopsychosocial profile of women with pelvic organ prolapse: A systematic review.Women's health (London, England)Pooled it
- Sexual and Psychological Outcomes After Vaginal Surgery for Pelvic Organ Prolpase and Stress Urinary Incontinence.International urogynecology journal · 2026Observational
- Observational
- Uterine preservation in pelvic organ prolapse.Gynecology and pelvic medicine · 2026Review
- Laparoscopic multi-bipolar radiofrequency ablation of fibroids: impact on quality of life.Archives of gynecology and obstetrics · 2025Observational
- Determinants of Dissatisfaction After Laparoscopic Cure of Vaginal and/or Rectal Prolapse using Mesh: a Comprehensive Retrospective Cohort Study.International urogynecology journal · 2024Article
- Bilateral Sacrospinous Hysteropexy Versus Bilateral Sacrospinous Ligament Fixation with Vaginal Hysterectomy for Apical Uterovaginal Prolapse.International neurourology journal · 2022Article
- Role of Hysteropexy in the Management of Pelvic Organ Prolapse.Current urology reports · 2022Review
- Pelvic organ prolapse and uterine preservation: a survey of female gynecologists (POP-UP survey).BMC women's health · 2020Article
- Time-frame comparison of hystero-preservation in the surgical treatment of uterine prolapse: a population-based nation-wide follow-up descriptive study, 2006-2013 versus 1997-2005.International urogynecology journal · 2020Article
- Pelvic organ prolapse and sexual function.Nature reviews. Urology · 2020Review
- Sexual function after total laparoscopic hysterectomy or transabdominal hysterectomy for benign uterine disorders: a retrospective cohort.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2020Article
- Pelvic organ prolapse patients' attitudes and preferences regarding their uterus: comparing German- and Russian-speaking women.International urogynecology journal · 2019Article
- Current surgical management of pelvic organ prolapse: Strategies for the improvement of surgical outcomes.Investigative and clinical urology · 2019Review
- How do patients and surgeons decide on uterine preservation or hysterectomy in apical prolapse?International urogynecology journal · 2018Article
- Hysteropexy: an Option for the Repair of Pelvic Organ Prolapse.Current urology reports · 2018Review
- Transvaginal uterosacral ligament hysteropexy: a video tutorial.International urogynecology journal · 2017Article
- Transvaginal uterosacral ligament hysteropexy: a retrospective feasibility study.International urogynecology journal · 2017Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisIncontinence and pelvic organ prolapse (POP) have an impact on sexuality. Few studies evaluate the impact of hysterectomy on sexual function. We designed the present observational prospective longitudinal cohort study in order to evaluate the impact of uterus preservation after POP repair on sexual function.
methodsBetween January 2006 and January 2011, 107 patients with POP, mean age 58 ± 8.9 years, underwent colposacropexy with or without hysterectomy. All the women without uterine disease were offered the chance to preserve the uterus. All patients gave written informed consent and completed the Female Sexual Function Index (FSFI) questionnaire, before and after surgery, provided detailed case history, underwent urogynaecological examination and urodynamic assessment and completed the Urogenital Distress Inventory short form (UDI-6) and Incontinence Impact on Quality of Life short form (IIQ-7) questionnaires, and the satisfaction Visual Analogue Scale (VAS). One year after surgery patients repeated the FSFI questionnaire and underwent a clinical check-up. The primary end-point was post-operative sexual function as evaluated by the FSFI, the secondary end-points were objective anatomical and subjective success, defined respectively as no prolapse and no incontinence-related symptoms.
resultsSixty-eight patients were included: 32 underwent uterus-sparing surgery and 36 hysterectomy plus colposacropexy. After surgery both groups had significant improvements in the total FSFI score and in the domains of desire, arousal and orgasm. The median post-operative scores of desire, arousal, and orgasm domains showed significant improvements in the uterus-sparing group compared with the hysterectomy group. None of the women had a uterine or vault prolapse recurrence.
conclusionsOur data demonstrate that POP plays a role in female sexual dysfunction and uterus sparing surgery is associated with a greater improvement in sexual function.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.