Evidence map›Paper›PMID 38485810›Full record

Observational studyInternational urogynecology journal2024

A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR.

Zdenek Rusavy, Veronika Kovarova, Samuel Tvarozek, Martin Smazinka, Martin Havir, Vladimir Kalis

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urogynecology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Zdenek RusavyDepartment of Gynecology and Obstetrics. Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic. rusavyz@fnplzen.cz.ORCID 0000-0001-7125-9819
Veronika KovarovaDepartment of Gynecology and Obstetrics. Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Samuel TvarozekDepartment of Gynecology and Obstetrics. Faculty of Medicine, Masaryk University in Brno, Brno, Czech Republic.
Martin SmazinkaDepartment of Gynecology and Obstetrics. Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Martin HavirDepartment of Gynecology and Obstetrics. Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Vladimir KalisDepartment of Gynecology and Obstetrics. Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Charles University · CZMasaryk University · CZ

Funding

Lékařská Fakulta v Plzni, Univerzita Karlova Cooperatio program
6 · The paper itself

Abstract

introduction and hypothesisAlthough laparoscopic sacrocolpopexy is a recommended procedure for sexually active women, its full impact on sexual life remains underexplored. This study is aimed at comprehensively assessing changes in the quality of sexual life and the prevalence of dyspareunia in women 1 year after laparoscopic sacrocolpopexy.

methodsThis prospective observational study enrolled women undergoing laparoscopic sacrocolpopexy for pelvic organ prolapse stage≥ 2. Included were women with a completed Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA Revised (PISQ-IR) questionnaire before and at 1 year after surgery. Individual domains of the PISQ-IR were compared separately. Dyspareunia, single summary PISQ-IR and PISQ-12 scores were additionally compared in sexually active women. Statistical analyses included paired signed rank, Wilcoxon, Median, Chi-squared, and Fisher tests (p < 0.05).

resultsBetween February 2015 and December 2019, a total of 333 women were included. Mean age was 61.0 ± 11.2 and 141 (42%) reported being sexually active at baseline. At 12 months postoperatively, sexual activity was preserved in 110 (78%) of these women and an additional 26 women (14%) became sexually active. Both single-summary PISQ-IR (3.4 vs 3.6, p < 0.01) and PISQ-12 (36.0 vs 38.1, p < 0.01) scores increased significantly. The only variable that was associated with deteriorated scores postoperatively was a higher BMI. Individual domain analyses revealed significant improvement in condition-specific and condition-impact domains, except for the desire domain, which deteriorated. Prevalence of dyspareunia decreased post-surgery from 21.8% to 16.4%, p < 0.05. Newly sexually active women were older, had shorter vaginal length preoperatively, but lower PISQ-IR scores postoperatively than sexually inactive women pre- and postoperatively. Women ceasing sexual activity were older and had lower preoperative PISQ-IR scores than sexually active women pre- and postoperatively.

conclusionsAlthough the overall rate of sexually active women and sexual desire declined 12 months after sacrocolpopexy, overall sexual function scores improved and the prevalence of dyspareunia decreased.

Indexed as

DyspareuniaGynecologic Surgical ProceduresLaparoscopyPelvic Organ ProlapseQuality of LifeSexual BehaviorAgedFemaleHumansMiddle AgedPostoperative PeriodProspective StudiesSurveys and QuestionnairesVaginaDyspareuniaMeshPISQ-12PISQ-IRSacrocolpopexySexuality

Identifiers

PMID38485810
OpenAlexW4392860988

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.