Effects of vaginal prolapse surgery on sexuality in women and men; results from a RCT on repair with and without mesh. J Sex Med 12;9:1200–1211
Of course PTs do not give input to which type of surgery is chosen but it is interesting to follow the mesh issues. This study shows improvement in sexual functioning after anterior colporrhaphy but not after mesh placement.
From “sex toy” to intrusive imposition: A qualitative examination of women's experiences with vaginal dilator use following treatment for gynecological cancer. J Sex Med 12;9:1162–1173.
This study interviewed 10 women who used vaginal dilators prophylactically during and after radiation for pelvic cancer. It outlines 5 themes. These were: (i) embarrassing sex toy; (ii) reliving the invasion of treatment; (iii) aversive “hands-on” experience; (iv) not at the forefront of my recovery; and (v) minimizing the resistance. It is important for us to be sensitive to patients emotional component in using dilators.
Provoked vestibulodynia—Women's experience of participating in a multidisciplinary vulvodynia program. J Sex Med 12;9:1086–1093.
Another study using interviews and another 5 themes. Five main themes emerged and included: increased knowledge, gained tools/skills, perceived improved mood/psychological well-being, a sense of validation and support, and an enhanced sense of empowerment. This certainly gives support to our efforts with this very difficult patient population even if we are not able to “cure”.