Description of Vaginal Laxity and Prolapse and Correlation With Sexual Function (DeVeLoPS).
Female Sexual Function Index
POP-Q
Pelvic Floor Distress Inventory
Vaginal Laxity
Vaginal Laxity Questionnaire
Journal
Sexual medicine
ISSN: 2050-1161
Titre abrégé: Sex Med
Pays: England
ID NLM: 101631053
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
10
03
2021
revised:
16
07
2021
accepted:
01
09
2021
pubmed:
12
10
2021
medline:
12
10
2021
entrez:
11
10
2021
Statut:
ppublish
Résumé
Vaginal laxity (VL) is a sensation of vaginal looseness which may develop after pregnancy and vaginal delivery and may be affected by prior pelvic surgery, menopause and aging. Pelvic organ prolapse (POP) is a disorder in which pelvic organs descend from the normal position. VL has attracted recent attention due to the advent of energy-based treatments for this symptom. To determine the correlation between VL symptoms and physical exam findings of POP, specifically the introital measurement of genital hiatus. This was a multi-center cross-sectional study of sexually active women over 18 years of age with a parity of one or greater. Subjects completed the Vaginal Laxity Questionnaire (VLQ), the Pelvic Floor Distress Inventory-20, and the Female Sexual Function Index (FSFI), and were asked if a sexual partner had commented on laxity. Subjects underwent pelvic exam, including the pelvic organ prolapse quantification (POP-Q). Correlation between VL symptoms as measured by the VLQ and POP as measured by elements of the POP-Q. A total of 95 subjects with an average age was 54.3 ± 13.18 years were included. Sixty-three percent of patients were postmenopausal. The average VLQ score was 4.2 ± 1.35 and the average FSFI score was 23.42 out of 36. There was no significant correlation between VLQ score and POP or mid-vaginal caliber. Sensation of vaginal tightness was significantly associated with age (P=0.03) and menopausal status (P=0.04). Only 28% of partners commented on laxity and the majority commented on the vagina being tight (21%) rather than loose (7%). VL was not correlated with physical exam findings quantifying POP or sexual function. This study emphasizes the need to develop a more standardized definition of VL and a better assessment tool for VL symptoms. Polland A, Duong V, Furuya R, et al. Description of Vaginal Laxity and Prolapse and Correlation With Sexual Function (DeVeLoPS). Sex Med 2021;9:100443.
Identifiants
pubmed: 34629323
pii: S2050-1161(21)00123-9
doi: 10.1016/j.esxm.2021.100443
pmc: PMC8766263
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100443Informations de copyright
Copyright © 2021 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.
Références
Int Urogynecol J. 2018 May;29(5):723-728
pubmed: 28762179
Int Urogynecol J. 2019 Mar;30(3):371-376
pubmed: 30523374
Female Pelvic Med Reconstr Surg. 2010 Sep;16(5):296-8
pubmed: 22453508
J Sex Med. 2014 May;11(5):1262-70
pubmed: 24612478
Int Urogynecol J. 2018 May;29(5):647-666
pubmed: 29577166
Am J Obstet Gynecol. 1996 Jul;175(1):10-7
pubmed: 8694033
J Obstet Gynaecol. 2006 Oct;26(7):645-9
pubmed: 17071432
J Sex Med. 2017 Feb;14(2):215-225
pubmed: 28161079
J Sex Med. 2010 Sep;7(9):3088-95
pubmed: 20584127
J Sex Med. 2010 Dec;7(12):3957-62
pubmed: 20646180
Laser Ther. 2014 Jul 1;23(2):129-38
pubmed: 25071312
Int Urogynecol J. 2012 Oct;23(10):1435-48
pubmed: 22669419
Acta Obstet Gynecol Scand. 2006;85(9):1125-7
pubmed: 16929420
Neurourol Urodyn. 2012 Sep;31(7):1145-8
pubmed: 22473490
J Sex Med. 2011 Jun;8(6):1813-25
pubmed: 21492397
J Sex Med. 2010 Apr;7(4 Pt 1):1565-77
pubmed: 19912495
Int Urogynecol J. 2010 Apr;21(4):447-52
pubmed: 19960183
J Sex Med. 2008 Aug;5(8):1915-22
pubmed: 18547388