Sexual disorders in women who have undergone surgery for pelvic organ prolapse or stress urinary incontinence using synthetic prostheses


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Abstract

The paper provides a literature review on sexual dysfunctions that have developed in women after vaginal colpopexy with Prolift, Prosima, and Elevate synthetic mesh prostheses that correct pelvic organ prolapse, as well as stress urinary incontinence using TVT and TVT-obturator synthetic mesh tapes. It is noted that there is the highest incidence of postoperative complications with the development of female sexual functions (dyspareunia, pelvic pain) after surgery using synthetic mesh prostheses implanted by the trocar-guided technology according to the Prolift principle. Non-trocar-guided technologies for the installation of mesh prostheses that correct pelvic organ prolapse, the Prosima and Elevate systems are characterized by a significantly lower frequency of postoperative complications and, accordingly, a lower incidence of dyspareunia and other sexual disorders in women. The analysis of the results of surgical treatment for pelvic organ prolapse in women shows that the best anatomical and functional outcomes are achieved with Prosima Elevate synthetic mesh prostheses using non-trocar-guided technologies, by reducing the trauma rate of operations. Sexual dysfunctions after surgical restoration of continence in women with TVTand TVT-obturator mesh tapes can develop when a suburethral tape is placed under the distal urethra, by damaging the clitoral nerve. Conclusion. The impact of urogynecologic surgeries using synthetic mesh prostheses on female sexuality requires further investigations.

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About the authors

N. A Nechiporenko

Grodno State Medical University

Email: nechiporenko_nik@mail.ru
Dr. Med. Sci., professor, professor of the Department of Surgical Diseases II Republic of Belarus, Grodno, Gorkij str., 80

L. S But-Gusaim

Grodno City Clinical Hospital of Emergency Care

Email: ludmilabg@mail.ru
Cand. Med. Sci., Vice-Director 230027, Republic of Belarus, Grodno, Sov. Pogranichnikov str., 115

A. N Nechiporenko

Grodno State Medical University

Email: nechiporenko_al@mail.ru
Dr. Med. Sci., professor of the Department of Surgical Diseases II Republic of Belarus, Grodno, Gorkij str., 80

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