Factors Associated Sexual Dysfunction in Patients Pelvic Organ Prolapse at Dr. Cipto Mangunkusumo and Fatmawati Hospital Jakarta in 2016

Abstract

Pelvic Organ Prolapse (POP) is a bulge or protrusion of pelvic organs and related segments into or through the vagina. Disturbances in sexual function rarely complained, but from the literature it is known that patients with stage 3–4 prolapse associated with difficulty in achieving an orgasm. This study aims to determine the prevalence of sexual dysfunction in patients with POP and factors associated with sexual dysfunction among them. A cross-sectional design was conducted in Dr. Cipto Mangunkusumo and Fatmawati Hospital Jakarta. All patients who met the inclusion criteria of POP filled out a questionnaire of sexual function index (FSFI-19), then performed univariate analysis of data on the characteristics of the data subject, and bivariate and multivariate analysis to know the relationship between the dependent and independent variables. Of the 82 data, the prevalence of sexual dysfunction in patients with POP reached 57.3%. While most of the patients had experienced menopause POP also with a prevalence of 76.8%. The prevalence of sexual dysfunction in patients who were menopausal POP by 66.7%. From the results of the bivariate analysis, age, menopause, obesity and stage of prolapse were a significant risk factor on the incidence of sexual dysfunction in patients with POP. The variables of age, smoking, menopause, obesity and stage of prolapse, p < 0.25 to be included in the multivariate analysis. From the multivariate analysis, the variables associated with the incidence of sexual dysfunction in patients with POP were age >60 by OR 8 (IK95 2,45–26.12), and obesity (BMI 30 kg/m2) with an OR of 0.30 (CI 95 0.09 to 0.98). Advanced age and obesity are associated with the incidence of sexual dysfunction in patients with POP.