Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

The impact of hemorrhoidectomy on sexual function in women: a preliminary study

Abstract

The purpose of this study was to explore the prevalence of sexual problems in post-hemorrhoidectomy females. The study consisted of a surgical group and a control group of women between the ages of 22 and 74 years, 39 with and 39 without hemorrhoidectomy. Female sexual function was evaluated using the Female Sexual Function Index (FSFI). The level of sexual function was calculated for each domain and compared across domains and demographic variables for each group. The prevalence of sexual dysfunction among the post-hemorrhoidectomy participants was 48.7% (19/39) and among the healthy women 7.7% (3/39). The average FSFI score was significantly lower in the surgical group (46.38±28.13) than in the control group (65.69±18.48) (P=0.001). All the FSFI domain scores, with the exception of the desire domain, were significantly lower for the surgical group relative to the healthy group (P<0.05). Logistic regression analysis revealed that group (P=0.001) and age (P=0.013) were predictors of problems in female sexual functioning. This preliminary study shows that women who have had a hemorrhoidectomy are at higher risk of sexual function problems. The sexual function of women with hemorrhoidectomy should be evaluated to provide them with a better quality of life.

This is a preview of subscription content

Access options

Buy article

Get time limited or full article access on ReadCube.

$32.00

All prices are NET prices.

References

  1. Likes WM, Stegbauer C, Hathaway D, Brown C, Tillmanns T . Use of the Female Sexual Function Index in women with vulvar intraepithelial neoplasia. J Sex Marital Ther 2006; 32: 255–266.

    Article  Google Scholar 

  2. Liang JT, Lai HS, Lee PH . Laparoscopic pelvic autonomic nerve-preserving surgery for patients with lower rectal cancer after chemoradiation therapy. Ann Surg Oncol 2007; 14: 1285–1287.

    Article  Google Scholar 

  3. Liang JT, Lai HS, Lee PH, Chang KJ . Laparoscopic pelvic autonomic nerve-preserving surgery for sigmoid colon Cancer. Ann Surg Oncol 2008; 15: 1609–1616.

    Article  Google Scholar 

  4. Zippe CD, Nandipati KC, Agarwal A, Raina R . Female sexual dysfunction after pelvic surgery: the impact of surgical modifications. BJU Int 2005; 96: 959–963.

    Article  Google Scholar 

  5. Brading AF, Heaton JPW, Hashitani H . A survey of commonalities relevant to function and dysfunction in pelvic and sexual organs. Int J Impot Res 2008; 20: 1–16.

    CAS  Article  Google Scholar 

  6. Rosenbaum TY . Pelvic floor involvement in male and female sexual dysfunction and the role of pelvic floor rehabilitation in treatment: a literature review. J Sex Med 2007; 4: 4–13.

    Article  Google Scholar 

  7. Holzheimer RG . Hemorrhoidectomy: indications and risks. Eur J Med Res 2004; 9: 18–36.

    PubMed  Google Scholar 

  8. Fueglistaler P, Guenin MO, Montali I, Kern B, Peterli R, von Flue M et al. Long-term results after stapled hemorrhoidopexy: high patient satisfaction despite frequent postoperative symptoms. Dis Colon Rectum 2007; 50: 204–212.

    CAS  Article  Google Scholar 

  9. Ng KH, Ho KS, Ooi BS, Tang CL, Eu KW . Experience of 3711 stapled haemorrhoidectomy operations. BJS 2006; 93: 226–230.

    Article  Google Scholar 

  10. Basson R, Berman J, Buenett A, Derogatis L, Ferguson D, Fourcroy J et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 2000; 163: 888–893.

    CAS  Article  Google Scholar 

  11. Hayes RD, Dennerstein L, Bennett CM, Fairley CK . What is the ‘true’ prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med 2008; 5: 777–787.

    Article  Google Scholar 

  12. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000; 26: 191–208.

    CAS  Article  Google Scholar 

  13. Laumann EO, Paik A, Rosen RC . Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999; 281: 537–544.

    CAS  Article  Google Scholar 

  14. Aslan E, Fynes M . Female sexual dysfunction. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: 293–305.

    Article  Google Scholar 

  15. Cayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E . The prevalence of female sexual dysfunction and potential risk factors that may impair sexual function in Turkish women. Urol Int 2004; 72: 52–57.

    Article  Google Scholar 

  16. Hayes RD, Dennerstein L, Bennett CM, Sidat M, Gurrin LC, Fairley K . Risk factors for female sexual dysfunction in the general population: exploring factors associated with low sexual function and sexual distress. J Sex Med 2008; 5: 1681–1693.

    Article  Google Scholar 

  17. Kuo MC, Hsu CS, Chen SM, Chang CW, Chen SS, Chang LJ et al. A survey on cognitions of female sexual function and dysfunction of the Taiwanese women in the gynecological clinics. J Taiwan Urol Assoc 2005; 16: 53–58.

    Google Scholar 

  18. Berman JR, Berman LA, Kym AK . Female sexual dysfunction: new perspectives on anatomy, physiology, evaluation and treatment. Eur Update 2003; Series: 1:166–1:177.

    Google Scholar 

  19. Basson R . Women's sexual function and dysfunction: current uncertainties, future directions. Int J Impot Res 2008; 20: 466–478.

    CAS  Article  Google Scholar 

  20. DeRogatis LR . Assessment of sexual function/dysfunction via patient reported outcomes. Int J Impot Res 2008; 20: 35–44.

    CAS  Article  Google Scholar 

  21. Wiegel M, Meston C, Rosen R . The Female Sexual Function Index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 2005; 31: 1–20.

    Article  Google Scholar 

  22. Meston CM . Validation of the Female Sexual Function Index (FSFI) in women with female orgasmic disorder and in women with hypoactive sexual desire disorder. J Sex Marital Ther 2003; 29: 39–46.

    Article  Google Scholar 

  23. Cohen J . A power primer. Psychol Bull 1992; 112: 155–159.

    CAS  Article  Google Scholar 

  24. Masheb RM, Lozano-Blanco C, Kohorn EI, Monlin MJ, Kerns RD . Assessing sexual function and dyspareunia with the Female Sexual Function Index (FSFI) in women with vulvodynia. J Sex Marital Ther 2004; 30: 315–324.

    Article  Google Scholar 

  25. Hayes RD, Bennett C, Dennerstein L, Gurrin L, Fairley C . Modeling response rates in surveys of female sexual difficulty and dysfunction. J Sex Med 2007; 4: 286–295.

    Article  Google Scholar 

Download references

Acknowledgements

Lin Y-H was responsible for the study conception and design. Lin, Liu and Chen conducted the data collection and data analysis. Lin was responsible for the drafting of the paper. Stocker made critical revisions to the paper for important intellectual content. Ethical approval was obtained from participating hospital and monitored by the hospital's institutional review board.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J Stocker.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Lin, YH., Stocker, J., Liu, KW. et al. The impact of hemorrhoidectomy on sexual function in women: a preliminary study. Int J Impot Res 21, 343–347 (2009). https://doi.org/10.1038/ijir.2009.37

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijir.2009.37

Keywords

  • Female Sexual Function Index (FSFI)
  • Taiwanese women
  • hemorrhoidectomy

Further reading

Search

Quick links