Beji Nezihe Kizilkaya, Yalcin Onay, Erkan Habibe Ayyildiz
Department of Obstetric and Gynecologic Nursing, Florence Nightingale College of Nursing, Istanbul University, Istanbul, Turkey.
Int Urogynecol J Pelvic Floor Dysfunct. 2003 Oct;14(4):234-8; discussion 238. doi: 10.1007/s00192-003-1071-2. Epub 2003 Aug 27.
The aim of this study was to determine the effects of improvements in urinary incontinence resulting from pelvic floor rehabilitation on the sexual function of patients. The study involved 42 clinic patients who received pelvic floor rehabilitation treatment. Their sexual histories were obtained through face-to-face interviews. Pelvic muscle strength was measured with a perineometer. Improvement in incontinence was measured with the pad test. Seventeen women reported decreased sexual desire before the treatment; 5 of these indicated improvement after treatment. Nine of 17 women who experienced dyspareunia prior to treatment reported an improvement afterwards, and four women reported complete relief from pain. Five of 15 women who complained of difficulty in reaching climax before the treatment experienced improvement in this area. In conclusion, an improvement in sexual desire, performance during coitus and achievement of orgasm were observed in women who received pelvic floor muscle rehabilitation. No change was seen in the arousal and resolution stages of sexual activity.
本研究的目的是确定盆底康复对尿失禁的改善效果对患者性功能的影响。该研究纳入了42名接受盆底康复治疗的门诊患者。通过面对面访谈获取他们的性史。使用会阴压力计测量盆底肌肉力量。通过护垫试验测量尿失禁的改善情况。17名女性在治疗前报告性欲下降；其中5名表示治疗后有所改善。17名在治疗前经历性交困难的女性中有9名报告治疗后有所改善，4名女性报告疼痛完全缓解。15名在治疗前抱怨难以达到高潮的女性中有5名在这方面有所改善。总之，接受盆底肌肉康复的女性在性欲、性交表现和性高潮实现方面均有改善。性活动的唤起和消退阶段未见变化。
