SEXUAL FUNCTION AFTER PELVIC-SURGERY IN WOMEN

To assess the prevalence of sexual dysfunction after pelvic floor surg ery for nonmalignant conditions, a retrospective survey was performed. Replies from a postal survey were received from 66 of the 200 women c anvassed. Dyspareunia developed in 10 patients who had never had it be fore the operation, however of those who had it preoperatively the pai n stopped completely in 12 of 23. Reduced libido was noted in 16 of 54 (29%), reduced lubrication in 21 (38%), and reduced genital sensation in 10 (18%). Lack of information about the potential effects of surge ry on sexual function was identified as a major deficit and of conside rable concern to 35 of the 66 women. Sexual function after surgery sho uld be evaluated more intensively, and the subject discussed openly be fore any contemplated operation.