The impact of surgical management of pelvic organ prolapse on female sexual function

Background: Female sexual dysfunction is rarely addressed between patients and doctors, which may be due to cultural and religious thoughts and confusion about available treatments. Disturbance of pelvic anatomy may hurt Female sexual function so, This study aimed to assess the impact of pelvic organ prolapse surgery (POP) on female sexual function through the female sexual function index. Methods: We conducted a prospective cohort study on thirty-four cases with POP who underwent surgical correction at the Obstetrics and gynecology department at Zagazig University Hospitals. The implementation of the female sexual function index (FSFI) questionnaire was assessed before and after surgery. Results: Regarding the degree of prolapse, there were 2 cases (5.9%) with grade 1 pelvic organ prolapse, 23 cases (67.6%) with grade 2 pelvic organ prolapse, 8 cases (23.5%) with grade 8 pelvic organ prolapse and 1 case (2.9%) with grade 4 prolapse. Our study demonstrated a statistically significant improvement in the total score of the Female Sexual Function Index (FSFI) after surgical correction of pelvic organ prolapse, with a mean score increasing from 15.16 ± 3.19 pre-surgery to 29.75 ± 1.58 post-surgery (p < 0.001). Conclusion: Surgical correction of pelvic organ prolapse may have a positive effect on female sexual function.