Evaluating Sexual Function After Vaginal Repair With Perineorrhaphy

Evaluating Sexual Function After Vaginal Repair With Perineorrhaphy

This is a single center, double-blind, randomized controlled trial evaluating the change in sexual function in women undergoing vaginal repair for pelvic organ prolapse. Participants will be sexually active women who agree to randomization to having perineorrhaphy added to or excluded from their surgical repair. We hypothesize that sexual function will improve more significantly in women undergoing vaginal repair with perineorrhaphy.

Inclusion Criteria:

• sexually active
• genital hiatus measured between 4 and 6 centimeters
• desires sexual function
• undergoing vaginal repair with native tissues
• agrees to use vaginal estrogen for 12 months after surgery

Exclusion Criteria:

• genital hiatus > 6 cm
• planned obliterative procedure
• perineal body length <0.5cm
• disrupted external anal sphincter