Bibliographic record
Abstract
Introduction: This narrative review aims to investigate the intricacy of human sexuality, the prevalence and effect of pelvic organ prolapse (POP) repair on overall sexual function and dyspareunia, and the subsequent repercussions on body image self-perception and quality of life. Methods: A MEDLINE and PUBMED search was conducted for studies evaluating the effect of POP surgery on sexual function and dyspareunia in sexually active women as well as its impact on body image self-perception and QoL. We included both observational and randomized controlled studies evaluating this subject. We evaluated patients who underwent anterior and/or posterior compartment repair eventually including vaginal hysterectomy. We excluded studies including women with concomitant anti-incontinence surgical correction and/or any vaginal reconstruction with synthetic materials. Results: Women with POP are more likely to diminish sexual activity due to a perceived impact on body image and attractiveness as well as worry of incontinence. Conservative management (such as pelvic floor muscle physiotherapy or pessary use) or surgical intervention via transabdominal or transvaginal routes have been used to treat POP, but concerns remain regarding sexual consequences. Despite a post-surgical positive sexual outcome, there is an inherent risk of de novo dyspareunia regardless of the surgical technique employed with slightly higher risk for the transvaginal approach. Patient counselling prior to surgery has proved to be an important element of POP treatment. Only studies on complications of POP surgery, specifically its impact on female sexuality, dyspareunia, global quality of life, and self-perceived body image, were included and analyzed for this review. We limited our search to the international English language literature published over the last three decades and excluded all studies involving the use of synthetic material in transvaginal POP repair. Discussion and Conclusions: Although no consistent evidence was found that disorders of the pelvic floor in women have a clear adverse effect on sexuality, their anatomical correction using the patient’s native tissues is recommended. Dyspareunia reduced significantly after repair, but the rate remains higher after the transvaginal approach versus the minimally invasive (robot-assisted and laparoscopic) approach used for sacrocolpopexy.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.003 | 0.004 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.009 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".