后路修复与性功能
Posterior repair and sexual function.
作者信息
Komesu Yuko M, Rogers Rebecca G, Kammerer-Doak Dorothy N, Barber Matthew D, Olsen Ambre L
机构信息
Division of Urogynecology and Pelvic Floor Disorders, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center School of Medicine, Albuquerque, NM, USA.
出版信息
Am J Obstet Gynecol. 2007 Jul;197(1):101.e1-6. doi: 10.1016/j.ajog.2007.03.054.
Abstract
OBJECTIVE
The purpose of this study was to determine the effect of posterior repair (PR) on sexual function in patients who have undergone incontinence and/or pelvic reconstructive surgery.
STUDY DESIGN
A cohort study of women who underwent incontinence and/or prolapse surgery was performed. Participants completed the pelvic organ prolapse urinary incontinence sexual questionnaire (PISQ) before and after the operation. PISQ scores were compared between women who underwent PR and women who did not.
RESULTS
Of 73 study participants, 30 women underwent PR; 43 women did not (no PR). Although there was no difference in dyspareunia between groups pre-op, dyspareunia prevalence post-op was significantly lower in the no PR group. Preoperative PISQ scores were similar between groups. After the operation, both groups significantly improved their PISQ scores, without a difference between groups.
CONCLUSION
Although the incidence of dyspareunia differed between PR and no PR groups, overall improvement in sexual function was reflected in improved total PISQ scores that occurred irrespective of PR performance.
摘要
目的
本研究旨在确定后路修复术（PR）对接受尿失禁和/或盆腔重建手术患者性功能的影响。
研究设计
对接受尿失禁和/或脱垂手术的女性进行队列研究。参与者在手术前后完成盆腔器官脱垂尿失禁性功能问卷（PISQ）。比较接受PR的女性和未接受PR的女性的PISQ评分。
结果
在73名研究参与者中，30名女性接受了PR；43名女性未接受（无PR）。尽管术前两组间性交困难无差异，但术后无PR组的性交困难患病率显著更低。术前两组间PISQ评分相似。手术后，两组的PISQ评分均显著改善，组间无差异。
结论
尽管PR组和无PR组之间性交困难的发生率不同，但总体性功能改善体现在无论是否进行PR，PISQ总分均得到改善。
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