Pediatric Surgery Unit, Ospedale Maggiore, Parma, Italy.
J Urol. 2010 Oct;184(4 Suppl):1799-803. doi: 10.1016/j.juro.2010.03.078. Epub 2010 Aug 21.
We examined sexuality and psychosocial functioning in patients with Mayer-Rokitansky-Kuster-Hauser syndrome who underwent colovaginoplasty.
Patients who underwent colovaginoplasty for Mayer-Rokitansky-Kuster-Hauser syndrome in Italy and Bangladesh were required to meet certain criteria, including age greater than 18 years, college degree/high socioeconomic status, procedure done by the same surgical team and a minimum 6-year followup. Outcomes were evaluated by a retrospective chart review and an English version of the female sexual function index. Psychosocial functioning was measured by an English version of a 36-item survey, including the Rosenberg Self-Esteem Scale, Beck Depression Index and Cohen Test for Life Management ability with results compared to those in 30 healthy control subjects.
Of 40 patients who answered the female sexual function index 37% were married and 12% had adopted children while 40% were sexually active, 100% were attracted to males and 7% were on self-dilation. None required pads and 80% used a home douche. Of the patients 92% reported sexual desire and 87% reported sexual arousal. Sexual confidence and satisfaction were reported by approximately 90% of the patients and partner satisfaction was considered adequate by 93%. Most patients reported satisfactory orgasm. Of the women 89% reported adequate lubrication and none reported dyspareunia. Psychosocial functioning was not statistically different between patients and controls.
Based on the scoring system outcome colovaginoplasty seems to be an excellent choice to manage vaginal agenesis and ensure good quality of general and sexual life.
我们研究了接受结肠阴道成形术的 Mayer-Rokitansky-Kuster-Hauser 综合征患者的性生活和心理社会功能。
在意大利和孟加拉国接受结肠阴道成形术治疗 Mayer-Rokitansky-Kuster-Hauser 综合征的患者需满足某些标准,包括年龄大于 18 岁、大学学历/高社会经济地位、由同一手术团队进行手术以及至少 6 年的随访。通过回顾性病历审查和女性性功能指数的英文版本评估结果。通过英文版本的 36 项调查评估心理社会功能,包括罗森伯格自尊量表、贝克抑郁指数和科恩生活管理能力测试,将结果与 30 名健康对照者进行比较。
在回答女性性功能指数的 40 名患者中,37%已婚,12%收养了孩子,40%有性生活,100%对男性有吸引力,7%进行自我扩张。没有人需要使用护垫,80%使用家庭冲洗器。92%的患者报告有性欲,87%报告有性唤起。约 90%的患者报告有性自信和满足感,约 93%的患者认为伴侣满意度足够。大多数患者报告满意的性高潮。89%的女性报告有足够的润滑,没有人报告性交困难。患者和对照组之间的心理社会功能无统计学差异。
根据评分系统的结果,结肠阴道成形术似乎是管理阴道发育不全和确保一般和性生活质量良好的绝佳选择。