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\begin{document}

\title{Impact of laparoscopic sacrocolpopexy (LSC) on sexual activity and
function in women with advanced stages of pelvic organ prolapse (POP): A
5-year prospective study.}



\author[1]{Bernard Najib}%
\author[2]{Zdenek Rusavy}%
\author[3]{wael Abdallah}%
\author[1]{Yara Abdelkhalek}%
\author[1]{Nathalie Giraud}%
\author[1]{Bruno Deval}%
\affil[1]{Geoffroy Saint Hilaire Hospital}%
\affil[2]{Medical Faculty and University Hospital in Pilsen, Charles University in Prague}%
\affil[3]{Université Saint-Joseph}%


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  \date{May 07, 2024}


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\begin{abstract}
Objective: To compare patients undergoing laparoscopic sacrocolpopexy
for pelvic organ prolapse POP, in terms of sexual function and surgical
anatomical outcomes more than 5-years follow up period. Design: This is
a cohort study of prospectively collected data that includes all women
who underwent LSC between July 2005 and December 2021 at a tertiary care
center. Setting: Improvement in sexual function is an acknowledged goal
for women undergoing pelvic organ prolapse repair. The impact of POP
surgeries on sexual activity and function is very controversial, with
some studies showing improvement, while others showed no differences or
worsening in sexuality after the surgery Population: 228 women were
enrolled in this study. Methods: Patients completed the validated
quality of life questionnaires and were evaluated using the POP-Q, the
PFDI-20, PFIQ-7 and the PISQ-12 scores. Patients were divided
preoperatively according to their sexual activity and postoperatively
according to the sexual improvement after POP surgery. Main Outcomes: To
compare the PISQ-12 score pre and postoperatively and to assess
anatomical and sexual improvement after surgery. Results: There was a
statistically significant improvement in the PFDI, PFIQ and POPQ-score
score. There was no significant improvement in the PISQ-12 score with
more than 5 years follow-up. 76.1\% of patients who were not sexually
active preoperatively resumed their sexual activity after the surgery.
Conclusions: The anatomical correction of a pelvic organ prolapses and
pelvic floor disorders by laparoscopic sacrocolpopexy may improve sexual
function but did not change significantly the sexuality score. Funding:
No funding. Keywords: prolapse, sacrocolpopexy, laparoscopy, sexuality.%
\end{abstract}%



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\textbf{Hosted file}

\verb`Sexual activity BERNARD NAJIB V4.docx`  available at \url{https://authorea.com/users/471911/articles/563116-impact-of-laparoscopic-sacrocolpopexy-lsc-on-sexual-activity-and-function-in-women-with-advanced-stages-of-pelvic-organ-prolapse-pop-a-5-year-prospective-study}

\textbf{Hosted file}

\verb`Results.docx`  available at \url{https://authorea.com/users/471911/articles/563116-impact-of-laparoscopic-sacrocolpopexy-lsc-on-sexual-activity-and-function-in-women-with-advanced-stages-of-pelvic-organ-prolapse-pop-a-5-year-prospective-study}

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