ORIGINAL RESEARCH article
Front. Surg.
Sec. Obstetrics and Gynecological Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1643253
Effects of total urethral suspension combined with posterior pelvic floor reconstruction on sexual function in women with stress urinary incontinence and concomitant vaginal laxity syndrome
Provisionally accepted
Yuan Li*
Ji hong ShenLing LiDao ming TianYu bin WenHong chen LiJiang na GUQian LuoZhen hua GaoXing qi Wang*- The First Affiliated Hospital of Kunming Medical University, Kunming, China
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Objective:To assess the impact of total urethral suspension with posterior pelvic floor reconstruction on sexual function in women with stress urinary incontinence(SUI) and concomitant vaginal laxity syndrome(VLS), including partner satisfaction. Methods:Clinical data from 150 pelvic floor dysfunction patients were collected at the First Affiliated Hospital of Kunming Medical University (March 2023-March 2024). Preoperative assessments included demographics, obstetric/surgical history,menopausal status,sexual activity and maximum levator hiatal area during Valsalva maneuver on ultrasound . Seventy-five sexually active patients completed the Pelvic Organ Prolapse /Urinary Incontinent Sexual Function Questionnaire Short Form(PISQ-12), with partner satisfaction and vaginal tightness evaluations. At the 1-year postoperative follow-up, patients underwent outpatient clinical evaluations, including the PISQ-12 questionnaire, assessments of vaginal tightness and partner satisfaction, and pelvic floor ultrasound measurements.Results:The subjective cure rate for urinary incontinence was 86.67% with a 10.67% improvement rate. Significant improvements were observed in PISQ-12 scores (preoperative: 17.56 ± 5.56 vs postoperative: 11.72 ± 4.23; P < 0.01). Partners reported increased overall satisfaction (3.
Keywords: Pelvic floor dysfunction (PFD), Pelvic organ prolapse (POP), Stress urinary incontinence - SUI, vaginal laxity syndrome, Female Sexual Dysfunction (FSD), pelvic organ prolapse/urinary incontinence sexual function questionnaire short form
Received: 08 Jun 2025; Accepted: 23 Jul 2025.
Copyright: © 2025 Li, Shen, Li, Tian, Wen, Li, GU, Luo, Gao and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yuan Li, The First Affiliated Hospital of Kunming Medical University, Kunming, China
Xing qi Wang, The First Affiliated Hospital of Kunming Medical University, Kunming, China
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