The second part of this thesis focuses on the evaluation of vaginal wall sensibility, vaginal vasocongestion and sexual function after hysterectomy and prolapse surgery. With our studies we provide support for the hypothesis that vaginal prolapse surgery and vaginal hysterectomy affect vaginal wall sensibility in the proximal posterior vaginal wall and that vaginal prolapse surgery affects vaginal vasocongestion. As both of these physiological parameters seem relevant for optimal sexual function, one could expect to find a decrease in sexual function after surgery. Future studies should therefore evaluate these findings within the multidimensional framework of female sexual dysfunction. If these studies indeed show that damage to vaginal innervation and vasocongestion are important in the development of female sexual dysfunction, the performed surgical techniques should be adjusted accordingly.
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