Female sexual function and fertility after XXXX .

@entity1 @entity249 @entity4628 @entity31 @entity458 @entity3062 @entity250
PURPOSE: A potential complication in @entity1 after @entity4628 ( @entity4628 ) is @entity458 and reduced fertility. The aim was to evaluate sexual function and fertility after @entity4628 . METHODS: All female @entity1 who underwent an @entity4628 between 2004 and 2013 were retrospectively included. Sexual function, fertility, and continence were explored by the female sexual function index (FSFI), telephonic interview, and Wexner's score. RESULTS: Among 127 @entity1 included, 93 responded to the questionnaires (73.2  %). Seventy five were sexually active, and 48 (64  %) had normal sexual function (FSFI   >   26). In univariate analysis, there was a significant relationship between @entity31 (p   =   0.0161), age   >   40  years (p   =   0.01311), number of bowel movements (p   =   0.0238), nocturnal pouch activity (p   =   0.0094), use of @entity3062 (p   =   0.0283), and existence of @entity250 . After multivariate analysis, age and nocturnal pouch activity were associated with a worse sexual function (p   =   0.0235, OR   =   3.3 (1.2-9.9) and p   =   0.0094, OR   =   4.1 (1.4-13.5)). Of 16 @entity1 who wished to have @entity1 , 10 (63  %) became pregnant without recourse to in vitro fertilization, of whom 3 had two or more pregnancies. In total, there were 13 @entity1 born after @entity4628 . The mean time between the first pregnancy and surgery was 24.8        22  months. At 12 and 24  months after cessation of contraception, 57 and 67  % had at least one pregnancy. CONCLUSIONS: While sexual function is impaired in a limited number of @entity1 , the impact of surgery can be regarded as modest. Age and nocturnal pouch activity were some independent factors of worse sexual function. The risk of @entity249 should not preclude consideration of @entity4628 as a treatment option.
