Loyola University Medical Center, Chicago, IL, USA.
J Sex Med. 2010 Feb;7(2 Pt 2):1023-8. doi: 10.1111/j.1743-6109.2009.01586.x. Epub 2009 Nov 12.
In a previous study, sexual function was related to a woman's self-perceived body image and degree of bother from pelvic organ prolapse (POP).
To evaluate sexual function, prolapse symptoms, and self-perceived body image 6 months following treatment for POP and to explore differences in body image perception and sexual function following conservative and surgical treatment for POP.
After institutional review board approval, consecutive women with > or = stage II POP were invited to participate. In addition to routine urogynecologic history and physical examination, including Pelvic Organ Prolapse Quantification (POP-Q), the participants completed three validated questionnaires before, and 6 months after, treatment for POP: Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, Modified Body Image Perception Scale and Prolapse subscale of Pelvic Floor Distress Inventory to assess condition specific bother from POP. Main Outcome Measures. Changes in sexual function and body image perception following treatment for POP.
A total of 235 women with a mean age of 62 +/- 12 years returned for a 6-month follow-up. The majority of our participants had surgical repair for POP (88%). At 6-month follow-up visits, the patients reported significant improvement in sexual function from baseline (33 +/- 0.6 vs. 43 +/- 0.8, respectively P < 0.0001). Improvement in sexual function, as measured by PISQ-12, was not significant among sexually active patients treated with a pessary compared with those treated surgically (-2.5 +/- 5.5 vs. 11.5 +/- 1, respectively P < 0.0001). A multivariate linear regression model demonstrated that body mass index and changes in body image perception were the only independent factors associated with changes in PISQ score following POP treatment (beta = -0.5, P < 0.01 and beta = -0.4, P < 0.03, respectively).
Resolution of POP symptoms after treatment improves women's self-perceived body image and sexual function. Not surprisingly, pessary is less effective in improving sexual function compared with surgical repair of POP.
在之前的一项研究中，女性的性功能与自身对身体形象的感知和盆腔器官脱垂（POP）的困扰程度有关。
评估 POP 治疗 6 个月后的性功能、脱垂症状和自身对身体形象的感知，并探讨保守治疗和手术治疗 POP 后对身体形象感知和性功能的差异。
在机构审查委员会批准后，邀请患有>或= II 期 POP 的连续女性参加。除了常规的妇科病史和体检，包括盆腔器官脱垂量化（POP-Q），参与者在接受 POP 治疗前后完成了三个经过验证的问卷：盆腔器官脱垂/尿失禁性问卷、改良身体形象感知量表和盆底窘迫量表的脱垂子量表，以评估 POP 特有的困扰。主要观察指标：POP 治疗后性功能和身体形象感知的变化。
共有 235 名平均年龄为 62 +/- 12 岁的女性返回进行 6 个月随访。我们的大多数参与者都接受了 POP 的手术修复（88%）。在 6 个月的随访中，患者报告的性功能从基线显著改善（33 +/- 0.6 对 43 +/- 0.8，分别 P < 0.0001）。与手术治疗相比，使用子宫托治疗的活跃患者的性功能改善（PISQ-12）没有统计学意义（-2.5 +/- 5.5 对 11.5 +/- 1，分别 P < 0.0001）。多元线性回归模型表明，体重指数和身体形象感知的变化是 POP 治疗后 PISQ 评分变化的唯一独立因素（β=-0.5，P < 0.01 和 β=-0.4，P < 0.03）。
POP 治疗后症状的缓解改善了女性对自身身体形象和性功能的感知。毫不奇怪，与 POP 的手术修复相比，子宫托的疗效较差。
