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Abstract

Objective

The aim of this study was to examine if sexual function of male partners changed after surgery for pelvic floor disorders and to explore associated factors.

Study design

This was an observational follow-up study at the Gynecological Department at the St Olavs University Hospital, Trondheim. The sample consisted of 35 male partners of women scheduled for pelvic organ prolapse or stress urinary incontinence surgery. Self-administered questionnaires, containing validated instruments as well as exploratory questions, were sent to women and their partners before and one year after pelvic floor surgery. Vaginal dimensions were measured in all women according to the Pelvic Organ Prolapse Quantification System, both before and after the surgery.

Main outcome measures

The Brief Sexual Function Instrument and the presence of erectile dysfunction.

Results

One year after pelvic floor surgery, scores for sexual drive, erection and overall satisfaction from the Brief Sexual Function Instrument were unchanged; the ejaculation score (range 0–4) had mildly improved from a range of 4 (median 4) to a range of 3.5 (median 4), (p = 0.014). The proportion of men with erectile dysfunction was unchanged, while the proportion of men reporting vaginal wind had significantly decreased (p = 0.016). None of the baseline factors, subjective experiences or vaginal dimensions at baseline or follow-up were associated with the improved ejaculation score; only a reduction in the proportion of men reporting their partners with dyspareunia (ns) was significantly correlated (Spearman’s rho 0.42, p = 0.019).

Conclusion

Sexual function of male partners was unchanged or mildly improved after pelvic floor surgery.

Keywords

Coital incontinence male sexuality pelvic floor dysfunction pelvic organ prolapse surgery stress urinary incontinence surgery

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Male sexual function and pelvic floor surgery of their female partner: A one-year follow-up study