Pauls Rachel N, Berman Jennifer R
Obstetrics and Gynecology, Washington University in St. Louis, 4911 Barnes Jewish Hospital Plaza, Box 8064, St. Louis, MO 63110, USA.
Urol Clin North Am. 2002 Aug;29(3):677-83. doi: 10.1016/s0094-0143(02)00056-3.
Pelvic floor disorders and FSD are prevalent and challenging problems. These disorders include prolapse of the uterus, cervix, vagina, bladder, and rectum and incontinence. These diseases likely affect women's sexual well-being through physical and emotional effects. Women with pelvic floor disorders often have co-existing urologic and sexual complaints. Patients who present with these urologic problems should be questioned about their sexual function. Surgical treatment in these patients may be curative of their sexual disorders (e.g., by repairing incontinence) but may also have undesired effects on sensation, blood flow, and the anatomy. These effects can affect sexual arousal and orgasm or cause dyspareunia. It is hoped that a better understanding of the anatomy of this area will guide us in a more targeted approach to management of these conditions.
盆底功能障碍和女性性功能障碍是普遍且具有挑战性的问题。这些障碍包括子宫、宫颈、阴道、膀胱和直肠脱垂以及尿失禁。这些疾病可能通过身体和情感影响来影响女性的性健康。患有盆底功能障碍的女性通常还伴有泌尿系统和性方面的不适。出现这些泌尿系统问题的患者应被询问其性功能情况。这些患者的手术治疗可能会治愈其性功能障碍(例如,通过修复尿失禁),但也可能对感觉、血流和解剖结构产生不良影响。这些影响可能会影响性唤起和性高潮,或导致性交困难。希望对该区域解剖结构的更好理解将指导我们以更有针对性的方法来管理这些病症。