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Impact of Vaginal Hysterectomy on Quality of Life, Body Image, and Sexual Function in Women with Pelvic Organ Prolapse: A Study of Rural Women in a Low-Resource Setting   
Yazarlar (2)
Dr. Öğr. Üyesi Aslıhan YURTKAL Dr. Öğr. Üyesi Aslıhan YURTKAL
Kafkas Üniversitesi, Türkiye
Müjde CANDAY
Kafkas Üniversitesi, Türkiye
Devamını Göster
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 ESCI dergilerinde yayımlanan tam makale
Dergi Adı INTERNATIONAL UROGYNECOLOGY JOURNAL
Dergi ISSN 0937-3462 Wos Dergi Scopus Dergi
Makale Dili İngilizce
Basım Tarihi 05-2025
Doi Numarası 10.1007/s00192-025-06156-4