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泌尿生殖系统症状和女性性功能障碍(第 1 部分)。

Urogenital complaints and female sexual dysfunction (part 1).

机构信息

Drexel University College of Medicine-Obstetrics and Gynecology, Female Pelvic Medicine and Reconstructive Surgery, Philadelphia, PA 19107, USA.

出版信息

J Sex Med. 2010 May;7(5):1704-13; quiz 1703, 1714-5. doi: 10.1111/j.1743-6109.2010.01769.x. Epub 2010 Apr 1.

Abstract

INTRODUCTION

Sexual dysfunction and dyspareunia are common complaints in women with urological disorders.

AIM

To provide a comprehensive review of sexual dysfunction related to common hypersensitive/hyperactive urogenital disorders including interstitial cystitis/painful bladder syndrome (IC/PBS), overactive bladder (OAB) with and without incontinence, and high-tone pelvic floor muscle dysfunction and the appropriate treatment strategies.

METHODS

A medical literature search using several related terms including sexual dysfunction, dyspareunia, IC/PBS, OAB, urinary incontinence pelvic floor dysfunction, and levator ani muscle spasm.

MAIN OUTCOME MEASURES

Review of the medical literature to identify relation between sexual dysfunction and common urological disorders in women and to describe appropriate treatment strategies to improve the women's quality of life.

RESULTS

A thorough review of sexual dysfunction in urological disorders and their related treatments modalities including: behavioral, pharmacological, and nonpharmacological therapies.

CONCLUSIONS

Sexual dysfunction is a common, underestimated, and untreated complaint in women with urologic disorders. Identifying sexual complaints and treating the underlying etiologies can result in significant improvement in a woman's quality of life. This process requires a focused, multidisciplinary approach tailored to meet the needs of women with urogenital complaints.

摘要

简介

性功能障碍和性交困难是患有泌尿科疾病的女性常见的抱怨。

目的

全面回顾与常见超敏/活跃性泌尿生殖系统疾病相关的性功能障碍,包括间质性膀胱炎/膀胱疼痛综合征(IC / PBS)、伴有或不伴有尿失禁的膀胱过度活动症(OAB)、高张力盆底肌肉功能障碍以及适当的治疗策略。

方法

使用包括性功能障碍、性交困难、IC / PBS、OAB、尿失禁、盆底功能障碍和肛提肌痉挛在内的几个相关术语进行医学文献检索。

主要观察指标

回顾女性常见泌尿科疾病与性功能障碍之间的关系,并描述适当的治疗策略,以提高女性的生活质量。

结果

彻底审查了泌尿科疾病中的性功能障碍及其相关治疗方法,包括行为、药理学和非药理学疗法。

结论

性功能障碍是患有泌尿科疾病的女性常见、被低估和未得到治疗的抱怨。确定性功能障碍的投诉并治疗潜在病因可以显著提高女性的生活质量。这一过程需要采用针对性强、多学科的方法,以满足有泌尿生殖系统投诉的女性的需求。

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