De novo dyspareunia after pelvic organ prolapse surgery

Dyspareunia is a sexual dysfunction defined as genital pain experienced before, during, or after sexual intercourse. Pain during intercourse is a difficult clinical problem and one of the commonest complaints in gynecological practice. The causes of dyspareunia may be classified as organic, emotional, and psychological. Pelvic organ prolapse (POP) has been considered a cause of dyspareunia and sexual dysfunction may be affected positively or negatively by surgical treatment of prolapse. In this paper, the authors review the de novo dyspareunia after POP surgery. They conclude that the incidence of de novo dyspareunia was higher in series with vaginal repair with synthetic mesh than in abdominal sacropexy.