Female Sexual Function and Quality of Life After Pelvic Floor Surgery

Krisna, Ratih
Fauzi, Amir
Latifah, Murwani Emasrissa
Andrina, Hana
Arini, Putri
Astawa, I Gede Agus
Stevanny, Bella

Indonesian Journal of Obstetrics & Gynecology Science
Volume 8 Nomor 2 July 2025

Introduction: Pelvic floor surgery can significantly affect female sexual function and quality of life, impacting clinical outcomes and patient satisfaction. Understanding these effects is crucial for optimizing patient care.Objective: To review the literature about the impact of pelvic floor surgery on female sexual function and quality of life.Methods: A comprehensive literature search was conducted through PubMed and Scopus databases, covering publications from the last ten years. Articles were selected based on relevance, quality, and focus on sexual function and quality of life after pelvic floor surgery.Results: Pelvic floor surgery may affect female sexual function through physical, emotional, and anatomical changes. Postoperative dysfunction may involve pain, vaginal scarring, altered anatomy, or psychological distress. Decreased function is reported in 13% of women undergoing stress incontinence surgery and 37.5% of those undergoing complex urgency-type incontinence surgery. However, many studies report improvements in quality of life and sexual function following successful repair of pelvic organ prolapse or incontinencConclusion: Pelvic floor surgery can affect sexual function and the quality of life. A multidisciplinary approach is essential to help women regain sexual satisfaction and achieve optimal quality of life after pelvic floor surgery.Fungsi Seksual dan Kualitas Hidup Wanita Pasca Operasi Dasar PanggulAbstrakPendahuluan: Bedah dasar panggul dapat secara signifikan memengaruhi fungsi seksual dan kualitas hidup wanita, yang berdampak pada hasil klinis dan kepuasan pasien. Oleh karena itu, pengetahuan mengenai fungsi seksual dan kualitas hidup wanita pasca operasi dasar panggul sangat penting untuk mengoptimalkan perawatan pasien.Tujuan: Meninjau literatur mengenai dampak operasi dasar panggul terhadap fungsi seksual dan kualitas hidup wanita.Metode: Tinjauan pustaka dilakukan melalui basis data PubMed dan Scopus untuk publikasi 10 tahun terakhir. Artikel dipilih berdasarkan relevansi, kualitas, serta fokus pada fungsi seksual dan kualitas hidup pasca operasi dasar panggul.Hasil: Operasi dasar panggul dapat memengaruhi fungsi seksual melalui perubahan fisik, emosional, dan anatomi. Disfungsi seksual pascaoperasi dapat berupa nyeri, jaringan parut, perubahan anatomi, atau stres psikologis. Penurunan fungsi dilaporkan pada 13% pasien pascaoperasi inkontinensia urin tipe stres dan 37,5% pada kasus kompleks urgensi. Namun, banyak studi menunjukkan perbaikan fungsi seksual dan kualitas hidup setelah perbaikan prolaps atau inkontinensia yang berhasil..Kesimpulan: Pembedahan dasar panggul dapat mempengaruhi fungsi seksual dan kualitas hidup pasien. Pendekatan multidisiplin sangat penting untuk membantu wanita mencapai kembali kepuasan seksual serta kualitas hidup yang optimal setelah operasi dasar panggul.Kata Kunci: Fungsi Seksual Wanita; Inkontinensia Urin; Operasi Dasar Panggul; Prolaps Organ Panggul