Department of Obstetrics and Gynecology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Int J Gynaecol Obstet. 2011 Nov;115(2):167-70. doi: 10.1016/j.ijgo.2011.05.019. Epub 2011 Aug 15.
To evaluate the short-term impact of surgical repair with total transvaginal mesh (TVM) on sexual function among women with pelvic organ prolapse (POP).
Twenty-seven sexually active women who underwent total TVM procedures for symptomatic POP at Buddhist Dalin Tzu Chi General Hospital between 2007 and 2010 were included in the retrospective study. Preoperative and postoperative assessments included pelvic examination using the POP quantification (POP-Q) system, urodynamic studies, and a personal interview to evaluate urinary and sexual symptoms via the urogenital distress inventory (UDI-6), incontinence impact questionnaire (IIQ-7), and female sexual function index (FSFI).
The mean patient age was 51.4 years (range 36-68 years) and the mean parity was 2.7(range 0-4). Regarding POP-Q parameters, there were significant improvements at points Aa, Ba, C, Ap, and Bp after surgery (P<0.001). Similarly, the UDI-6 and IIQ-7 scores significantly dropped postoperatively (P<0.01). After surgery, the scores for the dyspareunia and the lubrication domains of FSFI worsened significantly (P<0.05). There was no significant change in other domains (desire, arousal, orgasm, satisfaction, and total score; P>0.05). Two-thirds (66.7%) of women had a lower total FSFI score postoperatively.
TVM surgery was found to contribute successfully to the anatomic correction of POP, but individual domains of sexual function sometimes worsened.
评估经阴道完全网片修补术（TVM）治疗盆腔器官脱垂（POP）对女性性功能的短期影响。
回顾性研究纳入 2007 年至 2010 年期间在佛教大林慈济综合医院因有症状的 POP 而接受完全 TVM 手术的 27 名有性生活的女性。术前和术后评估包括使用盆腔器官脱垂量化（POP-Q）系统进行盆腔检查、尿动力学研究以及个人访谈，通过尿生殖窘迫量表（UDI-6）、失禁影响问卷（IIQ-7）和女性性功能指数（FSFI）评估尿和性功能症状。
患者平均年龄为 51.4 岁（36-68 岁），平均产次为 2.7（0-4）。POP-Q 参数方面，术后Aa、Ba、C、Ap 和 Bp 点有显著改善（P<0.001）。同样，UDI-6 和 IIQ-7 评分术后显著下降（P<0.01）。术后，FSFI 的性交疼痛和润滑领域评分明显恶化（P<0.05）。其他领域（欲望、唤起、性高潮、满意度和总分；P>0.05）无显著变化。术后有三分之二（66.7%）的女性的 FSFI 总分较低。
TVM 手术成功地促进了 POP 的解剖矫正，但性功能的个别领域有时会恶化。
