Surgical correction of pelvic dysfunctions can cause both an improvement in the sexual life of patients and cause dyspareunia in the postoperative period. Studies of sexual function after pelvic floor surgery are very limited and contradictory. The purpose of this observational study is to analyze the sexual function of patients with pelvic dysfunctions before and after surgical treatment, as well as to analyze newly emerged complaints after vaginal surgery.

A prospective cohort study included 159 patients who were admitted for surgery for pelvic dysfunction. Before surgery, the patients completed a validated questionnaire to assess the quality of sexual life - PISQ 12 (The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire). After the surgical treatment, the patients were invited for a follow-up visit after 3, 6, 12 months to assess their quality of life.

According to the results of the study, patients are statistically significantly less likely to experience episodes of coital urinary incontinence (median response is "rarely" before surgery, "never" after surgery, p<0.001); fear of urinary incontinence, feces (median response is "sometimes" before surgery, "never" after surgery, p<0.001), avoiding sexual intercourse due to vaginal prolapse (p<0.001), shame/fear during sexual intercourse (p<0.001). The intensity of orgasms after surgery was higher, as was the overall score of the questionnaire.

According to our study, it can be seen that after correcting stress urinary incontinence and pelvic organ prolapse, the quality of sexual life in patients improved significantly, mainly due to a decrease in the amount of urine loss during sexual intercourse, increased intensity of orgasms, and a decrease in fear and shame of a sexual partner. And overall, the overall score for assessing the quality of sexual life has become higher. The effect was noticed by the patient at 3 months of the postoperative period, and a visit 1-2 months after the intervention seemed impractical due to the restrictions on sexual activity given to the patients in the early postoperative period.

After correcting stress urinary incontinence and pelvic organ prolapse, the quality of the patients' sexual life improved significantly. Surgical intervention, the main purpose of which is to correct pelvic dysfunctions, should not be performed to the detriment of sexual function.