{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T06:08:01Z","timestamp":1781244481967,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,9,10]],"date-time":"2013-09-10T00:00:00Z","timestamp":1378771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess whether the current condition\u2010specific sexual function questionnaire provides full insight into sexual function following pelvic floor surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective, mixed quantitative and qualitative study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Urogynaecology clinic in a large university hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Thirty\u2010seven women undergoing surgery for pelvic organ prolapse (<jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content>) and\/or stress urinary incontinence (<jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women were seen before surgery and 3\u00a0months postoperatively. At both visits the <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>elvic <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>rgan <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>rolapse\/<jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>rinary <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ncontinence <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>exual <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>unction <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uestionnaire (<jats:styled-content style=\"fixed-case\">PISQ<\/jats:styled-content>) was completed and a qualitative face\u2010to\u2010face semi\u2010structured interview was conducted. <jats:styled-content style=\"fixed-case\">PISQ<\/jats:styled-content> total and domain scores, as well as the change in the preoperative and postoperative score, were calculated and analysed using <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>ilcoxon signed rank test and one\u2010sample <jats:italic>t<\/jats:italic>\u2010test. The qualitative data were systematically analysed using data\u2010matrices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The impact of pelvic floor surgery on female sexual function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant improvement was seen for <jats:styled-content style=\"fixed-case\">PISQ<\/jats:styled-content> total score (<jats:italic>P\u00a0<\/jats:italic>=\u00a00.003) as well as <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>hysical (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and Partner\u2010related (<jats:italic>P\u00a0<\/jats:italic>=\u00a00.002) domains, but not for the <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ehavioural\/<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>motive domain (<jats:italic>P\u00a0<\/jats:italic>=\u00a00.220). Analysis of qualitative data showed that improvement in sexual function was a result of cure of <jats:styled-content style=\"fixed-case\">POP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content> symptoms. Deterioration of sexual function was due to dyspareunia, fear of causing damage to the surgical result, new symptoms and a disappointing result of surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our qualitative data show that <jats:styled-content style=\"fixed-case\">PISQ<\/jats:styled-content> is limited in the assessment of sexual function after pelvic floor surgery as it does not assess most surgery\u2010specific negative effects on sexual function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12412","type":"journal-article","created":{"date-parts":[[2013,9,11]],"date-time":"2013-09-11T09:15:06Z","timestamp":1378890906000},"page":"92-101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["The impact of pelvic floor surgery on female sexual function: a mixed quantitative and qualitative study"],"prefix":"10.1111","volume":"121","author":[{"given":"AM","family":"Roos","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Croydon University Hospital Croydon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Thakar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Croydon University Hospital Croydon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AH","family":"Sultan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Croydon University Hospital Croydon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JW","family":"de Leeuw","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Ikazia Ziekenhuis Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ATG","family":"Paulus","sequence":"additional","affiliation":[{"name":"Department of Health Services Research Faculty of Health, Medicine and Life Sciences School of Public Health and Primary Care Maastricht University Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0459-9"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001920170012"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31816bbe85"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.09.021"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2008.03.013"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-010-1198-x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.08.014"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1386-3"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2005.00668.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.111100"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-003-1063-2"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1997.tb11006.x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00938.x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483349015.n16"},{"key":"e_1_2_11_16_1","first-page":"173","volume-title":"Research Design: Qualitative, Quantitative and Mixed Methods Approaches","author":"Creswell JW","year":"2009"},{"key":"e_1_2_11_17_1","first-page":"179","volume-title":"Collecting and Interpreting Qualitative Materials","author":"Huberman AM","year":"1998"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2011.02647.x"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00332.x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7412.426"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2008.1133"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2005.00382.x"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; 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