Sexual Function Before and After Vesicovaginal Fistula Repair

The Journal of Sexual Medicine
Rachel PopeJeffrey Wilkinson

Abstract

Women with vesicovaginal fistulas often experience a disruption in their normal lives, including sexual relationships, because of urinary incontinence. Although surgery repairs the urinary leakage, it is not known how surgery might affect sexual function positively or negatively. 119 women were enrolled before surgery and interviewed including a revised Female Sexual Distress Scale (FSDS-R) score and examined for vaginal length, caliber, and pelvic floor strength. Approximately one third of women return to normal sexual function after repair, although a minority experience de novo dysfunction. 115 women completed follow-up 6 to 12 months after surgery. Approximately one third (35.6%, n = 41) stated that intercourse had returned to the way it was before a fistula. Forty-four women (40%) report sexual problems after the fistula developed; 15% due to incontinence and 23.5% due to pain. Fourteen women (12.2%) stated that they experienced problems with intercourse since surgery; 50% due to incontinence during intercourse and 50% due to pain. Nineteen of the participants (16.5%) scored in the range of dysfunction as assessed by the FSDS-R tool after surgery. Fibrosis did not significantly change and was not found to be associated wit...Continue Reading

Citations

Feb 11, 2020·Culture, Health & Sexuality·Rachel MernoffRachel Pope
Feb 6, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Rachel MernoffRachel Pope
Jan 17, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Rachel Pope, Meghan Beddow
Oct 18, 2019·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Shanmugasundaram RajaianArabind Panda
Jan 10, 2021·International Urogynecology Journal·Sridhar PanaiyadiyanManoj Kumar
Apr 28, 2021·Clinical Obstetrics and Gynecology·Megan Abrams, Rachel Pope
Jun 6, 2021·International Urogynecology Journal·Laura KeyserChi Chiung Grace Chen
Oct 5, 2021·Neurourology and Urodynamics·Lennart P MaljaarsRachel J Pope

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