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Porcine Dermis Graft Improves Sexual Function in Women After Rectocele Repair: Presented at ACOG By Maggie Schwarz WASHINGTON, D.C. -- May 11, 2006 -- A porcine dermis graft improves sexual function better than site-specific rectovaginal fascia repair in women with rectocele pelvic organ prolapse, researchers reported here at the 54th Annual Clinical Meeting of the American College of Obstetricians and Gynecologists (ACOG). Najjia N. Mahmoud, MD, assistant professor of surgery, division of colon and rectal surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, presented the results of her group's comparison of the 2 modalities in a presentation on May 9th. Fifty women with rectocele pelvic organ prolapse underwent rectocele repair utilizing porcine dermis graft and 50 women underwent site-specific repair of the rectovaginal fascia. The standardized, validated Prolapse and Incontinence Sexual function Questionnaire (PISQ) was used to collect data on the women's sexual function before and after the procedures. In the questionnaire, higher scores reflect better sexual function. The 2 groups were similar in age (porcine dermis graft 56 years, site-specific rectovaginal fascia repair 54 years), race, parity, rate of concomitant pelvic reconstructive surgical procedures, prior hysterectomy and postmenopausal hormone use. Preoperative sexual function scores were similar in the 2 groups (81.4 vs. 83.6, respectively). Six months after surgery, there was a significant increase in PISQ scores in both groups (mean difference in scores, 19.9 ± 2.2, P =.01 vs. 9.9 +/= 3.1, respectively; P =.01). Patients undergoing rectocele repair with a porcine dermis graft scored significantly higher on the PISQ 6 months after surgery than those who had site-specific rectovaginal fascia repair (101.3 +/= 6.4 vs. 92.7 +/= 7.1, respectively; P =.01). Dr. Mahmoud and colleagues concluded that rectocele repair using a porcine dermis graft yields higher scores in sexual functioning than site-specific rectovaginal fascia repair. [Presentation title: Sexual Function in Women After Rectocele Repair. Abstract p. 7S] E-mail this page to a friend or colleague! To print, use this version