Female sexual function after vaginal surgery using transobturator mesh for cystocele and rectocele repair

Hoda MR, Mohammad N, Fornara P
Clinic for Urology and Kidney Transplantation Centre
University Medical School of Halle/Wittenberg, Halle, Germany

Although the use of transobturator mesh implants for cytocele/rectocele repair has been shown to be safe and effective, concern exists that the presence of prosthetic material in the vagina may adversely affect sexual function. We evaluated prospectively the impact of transobturator mesh implants on sexual function using a validated questionnaire.
Materials and methods
A total of 82 women were included in this prospective study. The patients were evaluated with the Female Sexual Function Index (FSFI), a validated, 19-item questionnaire that assesses six domains of sexual function: desire, arousal, lubrication, orgasm, satisfaction, and pain. The questionnaire was administered preoperatively and at 6-month after the operation.


The mean patient age was 53.2 years (range 46 to 68). No statistically significant difference was found in sexual function after placement of transobturator mesh implants. Of the 82 patients, 29% were not sexually active before or after surgery. No statistically significant difference was found between preoperative and postoperative desire, arousal, lubrication, orgasm, satisfaction, and pain.

No change was found in overall sexual function in women undergoing transobturator mesh implantation. Specifically, neither a deleterious effect nor statistically significant improvement was found in sexual desire, arousal, lubrication, orgasm, satisfaction, or pain compared with the preoperative baseline values.

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