Quality of Sexual Function After Urogynecological Surgical Procedures: A Cross-Sectional Study

Pelvic floor disorders such as pelvic organ prolapse (POP) and urinary incontinence (UI) are common among women and have a documented negative impact on their sexual function and overall quality of life. This study aimed to assess changes in sexual function and quality of life in women undergoing urogynecological procedures and identify factors associated with postoperative sexual outcomes. A prospective cohort of 59 sexually active women who underwent surgical management for POP or UI at Tawam Hospital was followed up between June 1, 2024, and May 31, 2025. Participants completed a demographic survey and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ) before surgery and again three months postoperatively. PISQ scores showed a statistically significant improvement after surgery (33.87 (SD = 7.76) vs 84.98 (SD = 8.07)), with a mean increase of 51.1 points (t = − 36.18, p < 0.001), indicating pelvic discomfort, urinary control, physical mobility, and sexual function. Younger patients experienced greater improvements, while menopausal status appeared to moderate the extent of the benefits (r = − 0.504, p < 0.001). These findings highlight the importance of including sexual health in preoperative counseling and support the use of validated tools such as the PISQ for routine outcome monitoring and introducing surgical interventions at an earlier age.