Evidence map›Paper›PMID 40634763›Full record

ArticleAesthetic plastic surgery2025

Impact of Abdominoplasty with Diastasis Recti Correction on Female Sexual Function: A 1-Year Prospective Follow-Up Study.

Vito Toto, Angelo Faiola, Matteo Pazzaglia, Martina Ponzo, Francesco de Donato, Iside Vignapiano, Giovanni Francesco Marangi, Marco Gratteri, Fara Desiree Romano, Paolo Persichetti

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In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Vito TotoPlastic, Reconstructive, and Aesthetic Surgery Unit, Policlinico Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Rome, Italy.
Angelo FaiolaPlastic, Reconstructive, and Aesthetic Surgery Unit, Policlinico Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Rome, Italy.
Matteo PazzagliaPlastic, Reconstructive, and Aesthetic Surgery Unit, Policlinico Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Rome, Italy.
Martina PonzoPlastic, Reconstructive, and Aesthetic Surgery Unit, Policlinico Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Rome, Italy. dottoressamartinaponzo@gmail.com.ORCID 0009-0003-1109-4209
Francesco de DonatoPlastic, Reconstructive, and Aesthetic Surgery Unit, Policlinico Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Rome, Italy.
Iside VignapianoPlastic, Reconstructive, and Aesthetic Surgery Unit, Policlinico Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Rome, Italy.
Giovanni Francesco MarangiPlastic, Reconstructive, and Aesthetic Surgery Unit, Policlinico Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Rome, Italy.
Marco GratteriPlastic, Reconstructive, and Aesthetic Surgery Unit, Policlinico Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Rome, Italy.
Fara Desiree RomanoPlastic, Reconstructive, and Aesthetic Surgery Unit, Policlinico Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Rome, Italy.
Paolo PersichettiPlastic, Reconstructive, and Aesthetic Surgery Unit, Policlinico Campus Bio-Medico, Via Álvaro del Portillo, 200, 00128, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiastasis recti abdominis (DRA) is a condition commonly affecting women postpartum, often leading to functional impairments, negative body image, and reduced quality of life. While abdominoplasty with DRA correction is known to improve core stability and aesthetic outcomes, its potential impact on female sexual function remains underexplored.

objectiveThis prospective study investigates the effects of conventional abdominoplasty with DRA correction on female sexual function using the validated Female Sexual Function Index (FSFI) over a 1-year follow-up period.

methodsA total of 37 female patients with postpartum DRA (inter-rectus distance >4 cm) who underwent conventional abdominoplasty were included. Sexual function was assessed preoperatively and 12 months postoperatively using the FSFI, encompassing six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain. Patient satisfaction with the procedure was evaluated using a 5-point Likert scale. Statistical analysis was performed to identify significant changes in FSFI scores and their correlation with patient satisfaction.

resultsPostoperative FSFI scores demonstrated a significant improvement in total score (mean increase: 7.1; p < 0.005) and in the domains of arousal, orgasm, and satisfaction. Improvements in desire, lubrication, and pain were observed but not statistically significant. Higher patient satisfaction correlated with greater FSFI score improvement, although this was not statistically conclusive due to the small sample size. Notably, menopausal patients exhibited significant enhancements in overall FSFI scores (mean increase: 7.0; p < 0.005). One dissatisfied patient reported a decline in FSFI, highlighting individual variability.

conclusionsConventional abdominoplasty with DRA correction significantly improves sexual function in women, particularly in domains of arousal, orgasm, and satisfaction, while enhancing overall quality of life. These findings emphasize the importance of addressing functional and psychological aspects in surgical outcomes. Further research, including larger controlled studies and longer follow-up, is necessary to confirm these results and explore predictive factors for optimal outcomes. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

AbdominoplastyDiastasis, MuscleRectus AbdominisSexual BehaviorSexual Dysfunction, PhysiologicalAdultCohort StudiesEstheticsFemaleFollow-Up StudiesHumansOrgasmPatient SatisfactionProspective StudiesQuality of LifeRisk AssessmentAbdominoplastyDiastasis recti abdominisFemale sexual functionFSFIPostpartum recoveryQuality of life

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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.