{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T00:10:31Z","timestamp":1778285431865,"version":"3.51.4"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the impact of total urethral suspension with posterior pelvic floor reconstruction on sexual function in women with stress urinary incontinence(SUI) and concomitant vaginal laxity syndrome (VLS), including partner satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Clinical data from 150 pelvic floor dysfunction patients were collected at the First Affiliated Hospital of Kunming Medical University (March 2023\u2013March 2024). Preoperative assessments included demographics, obstetric\/surgical history, menopausal status, sexual activity and <jats:bold>maximum levator hiatal area during Valsalva maneuver on ultrasound<\/jats:bold>. Seventy-five sexually active patients completed the Pelvic Organ Prolapse\/Urinary Incontinent Sexual Function Questionnaire Short Form (PISQ-12), with partner satisfaction and vaginal tightness evaluations. At the 1-year postoperative follow-up, patients underwent outpatient clinical evaluations, including the PISQ-12 questionnaire, assessments of vaginal tightness and partner satisfaction, and pelvic floor ultrasound measurements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The subjective cure rate for urinary incontinence was 86.67% with a 10.67% improvement rate. Significant improvements were observed in PISQ-12 scores (preoperative: 17.56\u2009\u00b1\u20095.56 vs. postoperative: 11.72\u2009\u00b1\u20094.23; <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.01). Partners reported increased overall satisfaction (3.21\u2009\u00b1\u20090.92\u20133.81\u2009\u00b1\u20091.06; <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.01) and enhanced perception of vaginal tightness (2.47\u2009\u00b1\u20090.58\u20134.17\u2009\u00b1\u20090.62; <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The combined surgical procedure demonstrates significant therapeutic efficacy in managing SUI and concomitant VLS, with postoperative outcomes showing substantial improvements in both urinary continence and sexual function. Total urethral suspension provides comprehensive to treat SUI. Posterior pelvic floor reconstruction restores anatomical integrity by reducing the levator hiatus and reconstructing the perineal body, thereby normalizing vaginal axis alignment. The subsequent vaginal tightening achieved through these procedures significantly enhances sexual function for both patients and their partners.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2025.1643253","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T05:29:48Z","timestamp":1754544588000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Effects of total urethral suspension combined with posterior pelvic floor reconstruction on sexual function in women with stress urinary incontinence and concomitant vaginal laxity syndrome"],"prefix":"10.3389","volume":"12","author":[{"given":"Yuan","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihong","family":"Shen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daoming","family":"Tian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yubin","family":"Wen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongcheng","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiangna","family":"Gu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Luo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenhua","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xingqi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1016\/j.sxmr.2019.05.007","article-title":"Pelvic floor dysfunction and its effect on quality of sexual life","volume":"7","author":"Verbeek","year":"2019","journal-title":"Sex Med Rev"},{"key":"B2","doi-asserted-by":"publisher","first-page":"S779","DOI":"10.1016\/j.ajog.2019.12.050","article-title":"DEVELOPS: description of vaginal laxity and prolapse and correlation with sexual function","volume":"222","author":"Polland","year":"2020","journal-title":"Am J Obstet Gynecol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1080\/2000656X.2020.1828897","article-title":"Patient reported vaginal laxity, sexual function and stress incontinence improvement following vaginal rejuvenation with fractional carbon dioxide laser","volume":"55","author":"Gaye","year":"2021","journal-title":"J Plast Surg Hand Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1016\/j.ijgo.2011.08.021","article-title":"Validation of the Chinese version of the pelvic organ prolapse\/urinary incontinence sexual questionnaire short form (PISQ-12)","volume":"116","author":"Zhu","year":"2012","journal-title":"Int J Gynecol Obstet"},{"key":"B5","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1097\/01.gco.0000242961.48114.b0","article-title":"Mesh augmentation during pelvic-floor reconstructive surgery: risks and benefits","volume":"18","author":"Baessler","year":"2006","journal-title":"Curr Opin Obstet Gynecol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1111\/jog.12167","article-title":"Surgical outcomes and quality of life post-synthetic mesh-augmented repair for pelvic organ prolapse in the Chinese population","volume":"40","author":"Xiuli","year":"2014","journal-title":"J Obstet Gynaecol Res"},{"key":"B7","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1016\/j.ijgo.2011.05.019","article-title":"Impact of total vaginal mesh surgery for pelvic organ prolapse on female sexual function","volume":"115","author":"Wang","year":"2011","journal-title":"Int J Gynecol Obstet"},{"key":"B8","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1016\/j.gocm.2023.10.003","article-title":"A simplified method for evaluating the anatomical axis of the upper two-thirds of the vagina on MRI: a hospital-based cross-sectional study","volume":"3","author":"Yinluan","year":"2023","journal-title":"Gynecol Obstet Clin Med"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1099","DOI":"10.12669\/pjms.37.4.3892","article-title":"Surgery for pelvic organ prolapse and stress urinary incontinence and female sexual functions: a quasi-experimental study","volume":"37","author":"Saida","year":"2021","journal-title":"Pak J Med Sci"},{"key":"B10","doi-asserted-by":"publisher","first-page":"S47","DOI":"10.1016\/j.jmig.2009.08.175","article-title":"Colpoperineoplasty in women with sensation of a wide vagina","volume":"16","author":"Pardo","year":"2009","journal-title":"J Minim Invasive Gynecol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"96","DOI":"10.4274\/jtgga.galenos.2024.2023-1-13","article-title":"The effect of stress incontinence and pelvic organ prolapse surgery on sexual function and quality of life","volume":"25","author":"Do\u011fan","year":"2024","journal-title":"J Turk Ger Gynecol Assoc"},{"key":"B12","doi-asserted-by":"publisher","first-page":"499","DOI":"10.5604\/12321966.1167723","article-title":"Psychosocial problems of women with stress urinary incontinence","volume":"22","author":"Stadnicka","year":"2015","journal-title":"Ann Agric Environ Med"},{"key":"B13","doi-asserted-by":"publisher","first-page":"346","DOI":"10.1097\/01.ogx.0000668324.04671.67","article-title":"Effect of surgery for stress incontinence on female sexual function","volume":"75","author":"Clark","year":"2020","journal-title":"Obstet Gynecol Surv"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1143","DOI":"10.1097\/GME.0000000000001583","article-title":"Sexual function after tension-free vaginal tape procedure in stress urinary incontinence patients","volume":"27","author":"Zhang","year":"2020","journal-title":"Menopause"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1956","DOI":"10.1016\/j.jsxm.2020.07.003","article-title":"Sexual functions in women with stress urinary incontinence after mid-urethral sling surgery: a systematic review and meta-analysis of prospective randomized and non-randomized studies","volume":"17","author":"Shicong","year":"2020","journal-title":"J Sex Med"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1643253\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T05:29:48Z","timestamp":1754544588000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1643253\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,7]]},"references-count":15,"alternative-id":["10.3389\/fsurg.2025.1643253"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1643253","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,7]]},"article-number":"1643253"}}