Abstract
We prospectively assessed sexual function before and after a tension-free vaginal mesh (TVM) procedure for pelvic organ prolapse (POP). From April 2007 to March 2009, a total of 42 patients, who reported having an active sex life preoperatively underwent TVM for POP. Female sexual function was evaluated with the self-reporting, multiple-domain Female Sexual Function Index(FSFI). We administered the FSFI to all of the patients before and at 3, 6, and 12 months after surgery. The mean age at surgery was 61.3±7.1 years. Before the TVM surgery, the FSFI score was very low (12.5±9.0). The total FSFI score was improved significantly at 12 months after surgery (17.4±7.7). The Arousal, Lubrication and Orgasm domains were significantly improved at 12 months after surgery. POP appears to have a significant negative impact on female sexual function. Our findings indicate that TVM for POP improved sexual function in a group of Japanese women with POP.
