 
  
  
		| Yazarlar (2) | 
|  Doç. Dr. Aslıhan YURTKAL Kafkas Üniversitesi, Türkiye | 
|  Müjde Canday Kafkas Üniversitesi, Türkiye | 
| Özet | 
| This study examines the repercussions of vaginal hysterectomy and apical suspension for prolapse, when used as a surgical remedy for pelvic organ prolapse (POP), with regard to sexual function, body image, and the overarching quality of life (QoL) in women living in low- to middle-income rural areas. We conducted a longitudinal assessment involving 108 sexually active women with a diagnosis of stage 3 or higher POP undergoing vaginal hysterectomy and apical suspension for prolapse. Evaluations were performed preoperatively and at 6 months postoperatively. Participants underwent qualitative in-depth interviews and completed the 36-item Short Form Health Survey (SF-36), Body Image Scale (BIS), and Female Sexual Function Index (FSFI). We calculated aggregate and domain-specific scores from these instruments and utilized the Wilcoxon signed-rank test to discern pre- to post-surgical changes. Data from a total of 108 women were analyzed. The mean age of participants was 56.65 ± 10.03 years. Post-hysterectomy outcomes showed a statistically significant enhancement in sexual function, evidenced by increased scores on the FSFI from 13.42 ± 4.87 preoperatively to 27.99 ± 4.88 postoperatively (p < 0.001). Notable improvements were similarly recorded on the BIS and SF-36 subscales (p < 0.001). Qualitative analyses suggested that these positive changes in sexual function might be directly attributable to the alleviation of POP-related symptoms. Pelvic floor dysfunction presents a multifaceted health concern with both functional and anatomical repercussions for affected individuals. This investigation highlights the association between pelvic reconstructive procedures and improvement in women's QoL in an understudied population. | 
| Anahtar Kelimeler | 
| Body Image Scale | Female Sexual Function Index | Low-income health disparities | Pelvic organ prolapse | Quality of life | Vaginal hysterectomy | 
| Makale Türü | Özgün Makale | 
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale | 
| Dergi Adı | International Urogynecology Journal | 
| Dergi ISSN | 0937-3462 Wos Dergi Scopus Dergi | 
| Dergi Tarandığı Indeksler | SCI-Expanded | 
| Dergi Grubu | Q2 | 
| Makale Dili | İngilizce | 
| Basım Tarihi | 05-2025 | 
| Doi Numarası | 10.1007/s00192-025-06156-4 | 
| Makale Linki | https://doi.org/10.1007/s00192-025-06156-4 |