Urology Department, University of Modena and Reggio Emilia, Modena, Italy.
J Sex Med. 2010 Mar;7(3):1200-8. doi: 10.1111/j.1743-6109.2009.01676.x. Epub 2010 Feb 2.
Urinary incontinence (UI) is a debilitating condition that can cause discomfort, embarrassment, loss of confidence; it can lead to withdrawal from social life, and adversely affects physical and mental health, sexual function and quality of life (QoL) in women.
The aim is to determine the impact of combined pelvic floor rehabilitation (PFR) on UI, female sexual dysfunction, and QoL.
Female Sexual Function Index questionnaire (FSFI) and King's Health Questionnaire (KHQ).
Sixteen patients with UI were selected and underwent a complete PFR program (biofeedback, functional electrical stimulation, pelvic floor muscles exercises, and vaginal cones). Patient filled out the FSFI questionnaire and the KHQ at the baseline and at follow-up.
After PFR none of the patients reported urine leakage during sexual activity. Resolution of incontinence was achieved in 13 (81.25%) women. Only three (18.75%) patients had positive 1-hour pad test after the treatment. There was significant difference between pad test leakage before and after the PFR (P < 0.001). The mean Stamey incontinence score was 1.37 +/- 0.5 at the baseline vs. 0.25 +/- 0.57 at the follow up (P < 0.001). Before PFR, FSFI total score ranged from 25.8 to 2 (mean 14.65 +/- 6.88), after treatment the FSFI total score ranged from 36 to 2 (mean 22.65 +/- 9.5) (P < 0.001). The improvement of the scores in the six FSFI domains, 5 months after the conclusion of PFR, was statistically significant (desire, arousal, lubrication, orgasm, satisfaction, and pain). All the nine domains in the KHQ presented a low average score after treatment and the improvements were statistically significant.
PFR led to a significant difference in the daily use of pads, 1-hour pad test, and Stamey incontinence scores. The treatment caused an improvement in patient's QoL index and sexual function.
尿失禁（UI）是一种使人虚弱的疾病，会导致不适、尴尬和自信心丧失；它会导致社交生活的退缩，并对女性的身心健康、性功能和生活质量（QoL）产生不利影响。
目的是确定联合盆底康复（PFR）对 UI、女性性功能障碍和 QoL 的影响。
女性性功能指数问卷（FSFI）和 King's 健康问卷（KHQ）。
选择 16 名 UI 患者，进行完整的 PFR 方案（生物反馈、功能性电刺激、盆底肌肉锻炼和阴道锥）。患者在基线和随访时填写 FSFI 问卷和 KHQ。
PFR 后，无患者在性行为时出现漏尿。13 名（81.25%）女性的失禁得到缓解。治疗后仅 3 名（18.75%）患者的 1 小时垫试验阳性。PFR 前后垫试验漏尿有显著差异（P<0.001）。基线时 Stamey 失禁评分平均为 1.37 +/- 0.5，随访时为 0.25 +/- 0.57（P<0.001）。PFR 前，FSFI 总分范围为 25.8 至 2（平均 14.65 +/- 6.88），治疗后 FSFI 总分范围为 36 至 2（平均 22.65 +/- 9.5）（P<0.001）。PFR 结束后 5 个月，FSFI 的六个领域的评分改善具有统计学意义（欲望、唤起、润滑、高潮、满意度和疼痛）。KHQ 的九个领域在治疗后均表现出较低的平均评分，且改善具有统计学意义。
PFR 导致垫的日常使用、1 小时垫试验和 Stamey 失禁评分有显著差异。治疗改善了患者的 QoL 指数和性功能。
