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与盆底功能障碍相关的性功能障碍的病理生理学

Pathophysiology of sexual dysfunction as related to pelvic floor disorders.

作者信息

Mouritsen Lone

机构信息

Department of Gynecology and Obstetrics, Glostrup, Denmark.

出版信息

Int Urogynecol J Pelvic Floor Dysfunct. 2009 May;20 Suppl 1:S19-25. doi: 10.1007/s00192-009-0831-z.

DOI:10.1007/s00192-009-0831-z
PMID:19440779
Abstract

Female sexual dysfunction must be evaluated in the context of age, marital status, and general health status of the woman. Questionnaires evaluating the four domains of female sexual dysfunction can be used as a screening tool to evaluate the effect of pelvic floor disorders and coital leakage, as well as the effect of surgical methods and medical treatment on sexual function. Sexual problems are seldom volunteered symptoms, and only recording whether the woman has dyspareunia and frequency of sexual activity must be considered end-point parameters of a complex function. These parameters cannot explain the pathophysiological causes of the problem. There is a paucity of validated, easily accessible methods and parameters to objectively assess female sexual function.

摘要

女性性功能障碍必须结合女性的年龄、婚姻状况和总体健康状况进行评估。评估女性性功能障碍四个领域的问卷可作为一种筛查工具,用于评估盆底疾病和性交时漏尿的影响,以及手术方法和药物治疗对性功能的影响。性问题很少是主动诉说的症状,仅记录女性是否有性交困难和性活动频率,必须被视为一种复杂功能的终点参数。这些参数无法解释问题的病理生理原因。目前缺乏经过验证的、易于获取的方法和参数来客观评估女性性功能。

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本文引用的文献

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Symptom resolution and sexual function after anterior vaginal wall repair with or without polypropylene mesh.使用或不使用聚丙烯网片进行阴道前壁修复后的症状缓解及性功能
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Dec;19(12):1611-6. doi: 10.1007/s00192-008-0707-7. Epub 2008 Aug 21.
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Efficacy of tolterodine on overactive bladder symptoms and sexual and emotional quality of life in sexually active women.托特罗定对性活跃女性膀胱过度活动症症状及性与情绪生活质量的疗效。
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Pudendal neuropathy involving the perforating cutaneous nerve after cystocele repair with graft.
经闭孔无张力尿道中段吊带术(TOT-O)治疗压力性尿失禁后新发的阴部神经病变
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Int Urogynecol J Pelvic Floor Dysfunct. 2008 Dec;19(12):1697-706. doi: 10.1007/s00192-008-0668-x. Epub 2008 Jul 8.
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Women's sexual function and dysfunction: current uncertainties, future directions.女性性功能与性功能障碍:当前的不确定性及未来方向
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Female sexual function and pelvic floor disorders.女性性功能与盆底功能障碍
Obstet Gynecol. 2008 May;111(5):1045-52. doi: 10.1097/AOG.0b013e31816bbe85.
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"Diagnostic investigation of the pelvic floor": a helpful tool in the approach in patients with complaints of micturition, defecation, and/or sexual dysfunction.“盆底的诊断性检查”:对有排尿、排便和/或性功能障碍主诉的患者进行评估时的一种有用工具。
J Sex Med. 2008 Apr;5(4):864-871. doi: 10.1111/j.1743-6109.2007.00725.x. Epub 2008 Jan 21.
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