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Quality of life and sexual changes after double transobturator tension-free approach to treat severe cystocele
Abstract
Objectives To study the quality of life and sexual function changes of women affected by severe cystocele and treated with the double transobturator tension-free approach.Study design 23 women (mean age 60.6) with third and fourth degree cystocele (according to Baden and Walker classification) were monitored by Short Form-36 (SF-36) and Pelvic Organ Prolapse/Urinary Incontinenece Sexual Questionnaire (PISQ-12) before and 12 months after surgical treatment. Each woman also underwent translabial color Doppler ultrasonography to measure the Resistance Index (RI), Pulsatility Index (PI), Peak Systolic Velocity (PSV), and End-Diastolic Velocity (EDV) of the clitoral arteries, before surgery and 12 months postoperatively.Results SF-36 showed a considerable increase in all of the categories (physical functioning, physical role functioning, bodily pain, general health, vitality, social functioning, emotional role functioning, and mental health) compared to those obtained at baseline (P<0.05). PISQ-12 also showed a considerable increase in the behavioural emotive factor score, in the physical factor score, in the partner-related factor score and, consequently, in the total score compared to that obtained at baseline (P<0.05). Color Doppler measurement showed that the mean Pulsatility Index, Peak Systolic Velocity, Resistance Index and End-Diastolic Velocity were not significantly lower to those obtained at baseline (P=NS).Conclusions Double transobturator tension-free approach to treat severe cystocele considerably improves quality of life and sexual function, and does not significantly influence clitoral blood flow. Our data could add new information about sexual behaviour after prolapse treatment, particularly about the impact on clitoral blood flow changes.
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Pelvic organ prolapse affects women's quality of life.
“POP affects the quality of life of women [3], hence requiring management.”
From Risk factors for recurrence of pelvic organ prolapse after vaginal surgery among Ugandan women: a prospective cohort study (2022) · cites this paper as [3]
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Metadata
- Authors
- Caruso, S., Bandiera, S., Cavallaro, A., Cianci, S., Vitale, S. G., & Rugolo, S.
- Affiliations
- University of Catania (IT)
- Corresponding author
- Caruso, Salvatore
- Venue
- European Journal of Obstetrics & Gynecology and Reproductive Biology
- Publisher
- Elsevier BV
- Published
- 2010-07
- Volume
- 151
- Issue
- 1
- Pages
- 106-109
- ISSN
- 0028-2243 (ISSN-L)
- 0301-2115
- OpenAlex
- W1964030686
- Cited by
- 63
- References
- 29
- Citations by year
- 2026: 3 · 2025: 2 · 2023: 5 · 2022: 2 · 2021: 6 · 2020: 10 · 2019: 7 · 2018: 6 · 2017: 6 · 2016: 5 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 6
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Obstetrics & Gynecology and Reproductive Biology (publishedVersion)
- PubMed (publishedVersion)
- UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- Topics
- Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- cystocele, pelvic organ prolapse, quality of life, sexual function, clitoral blood flow, SF-36, PISQ-12, color Doppler ultrasound, postoperative outcomes
- MeSH terms
- Adult, Aged, Clitoris, Female, Humans, Middle Aged, Quality of Life, Sexual Behavior, Urinary Incontinence, Stress, Ultrasonography, Doppler, Color, Cystocele, Pelvic Organ Prolapse
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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