Di Tonno F, Mazzariol C, Optale G, Piazza N, Ciaccia M, Pianon C
Urologia. 2007 Oct-Dec;74(4):242-6. doi: 10.5301/ru.2010.5891.
Urinary Incontinence (UI) and Pelvic Organ Prolapse (POP) have a detrimental effect on Female Sexual Function (FSF). We decided to focus on the effect of vaginal surgery for UI and/or POP on FSF. MATERIALS AND METHODS. 72 women (aged 42-80, mean age: 62) were given the FSFI questionnaire after undergoing the following operations: 54 Tension-Free Vaginal Slings (TFVS), 12 Kelly plications, 3 hysterectomies+Kelly, 2 Tension-Free Vaginal Slings+Kelly, 1 hysterectomy+ Kelly+posterior IVS. RESULTS. 35 women did not answer the questionnaire, 6 women were sexually inactive and answered only partially; 31 patients answered completely. Mean pre- and postoperative scores were, respectively, 25.26 and 25.22 (normal >26.55). 9 patients had a normal preoperative score, whereas 22 a pathological score. The FSFI score did not change postoperatively in 26 women; it worsened in 3 and improved in 2 women treated because of coital incontinence. CONCLUSIONS. Vaginal surgery for UI and/or POP does not seem to affect FSF in the great majority of cases; conditions may worsen or improve, the latter definitely resulting from the treatment of Coital Incontinence. The high number of patients not answering the questionnaire deserves further studies and it could be - at least partially - explained on the basis of psychological and/or cultural problems regarding the highly emotional issues of sex, incontinence and prolapse.
尿失禁（UI）和盆腔器官脱垂（POP）对女性性功能（FSF）有不利影响。我们决定重点关注针对UI和/或POP的阴道手术对FSF的影响。材料与方法。72名女性（年龄42 - 80岁，平均年龄：62岁）在接受以下手术后填写了女性性功能指数（FSFI）问卷：54例无张力阴道吊带术（TFVS）、12例凯利折叠术、3例子宫切除术 + 凯利折叠术、2例无张力阴道吊带术 + 凯利折叠术、1例子宫切除术 + 凯利折叠术 + 阴道后壁修补术。结果。35名女性未回答问卷，6名女性无性活动且仅部分回答；31名患者完整作答。术前和术后的平均得分分别为25.26和25.22（正常 > 26.55）。9名患者术前得分正常，而22名患者得分异常。26名女性术后FSFI得分未改变；3名女性得分恶化，2名因性交失禁接受治疗的女性得分改善。结论。针对UI和/或POP的阴道手术在大多数情况下似乎不会影响FSF；情况可能恶化或改善，后者肯定是由于性交失禁的治疗所致。大量患者未回答问卷值得进一步研究，并且这至少可以部分基于与性、失禁和脱垂等高度情绪化问题相关的心理和/或文化问题来解释。
