Novi Joseph M, Bradley Catherine S, Mahmoud Najjia N, Morgan Mark A, Arya Lily A
Division of Urogynecology and Reconstructive Pelvic Surgery, Riverside Methodist Hospital, Suite 501, North Medical Building, 3545 Olentangy River Road, Columbus, OH, and University of Iowa, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Oct;18(10):1163-9. doi: 10.1007/s00192-006-0295-3. Epub 2007 Jan 11.
The objective of the study was to compare preoperative and postoperative sexual function between women undergoing rectocele repair with porcine dermis graft and women undergoing site-specific repair of rectovaginal fascia. A standardized, validated questionnaire (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire [PISQ]) was used to collect preoperative sexual function data from 100 patients with rectocele pelvic organ prolapse quantification stage 2 or greater. Fifty women underwent rectocele repair utilizing porcine dermis graft (group 1) and 50 women underwent a site-specific repair of the rectovaginal fascia (group 2). The same questionnaire was administered to all subjects 6 months after surgery. The two groups were similar in age, race, parity, prior hysterectomy, and postmenopausal hormone use. Preoperative sexual function scores were similar in the two groups (group 1 81.4+/-7.3 and group 2: 83.6+/-8.2, p=1.0). Six months after surgery, PISQ scores in group 1 significantly increased (score increase 19.9+/-2.2, p=0.01). The mean increase in PISQ scores for group 2 was 6.9+/-3.1 (p=0.08). When compared with group 2, subjects undergoing rectocele repair with porcine dermis graft scored significantly higher on the PISQ 6 months after surgery (group 1 101.3+/-6.4 and group 2 89.7+/-7.1, p=0.01). We conclude that rectocele repair using porcine dermis graft is associated with improved sexual functioning when compared with site-specific rectovaginal fascia repair.
本研究的目的是比较接受猪真皮移植直肠膨出修补术的女性与接受直肠阴道筋膜特定部位修补术的女性术前和术后的性功能。使用标准化、经过验证的问卷（盆腔器官脱垂/尿失禁性功能问卷 [PISQ]）从100例盆腔器官脱垂量化分期为2期或更高的直肠膨出患者中收集术前性功能数据。50名女性接受了猪真皮移植直肠膨出修补术（第1组），50名女性接受了直肠阴道筋膜特定部位修补术（第2组）。术后6个月对所有受试者使用相同的问卷。两组在年龄、种族、产次、既往子宫切除术和绝经后激素使用方面相似。两组术前性功能评分相似（第1组81.4±7.3，第2组：83.6±8.2，p = 1.0）。术后6个月，第1组的PISQ评分显著增加（评分增加19.9±2.2，p = 0.01）。第2组PISQ评分的平均增加为6.9±3.1（p = 0.08）。与第2组相比，接受猪真皮移植直肠膨出修补术的受试者在术后6个月的PISQ评分显著更高（第1组101.3±6.4，第2组89.7±7.1，p = 0.01）。我们得出结论，与直肠阴道筋膜特定部位修补术相比，使用猪真皮移植进行直肠膨出修补术与性功能改善相关。
