Labus Ljiljana D, Djordjevic Miroslav L, Stanojevic Dusan S, Bizic Marta R, Stojanovic Borko Z, Cavic Tamara M
School of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Sex Health. 2011 Sep;8(3):427-30. doi: 10.1071/SH10105.
The main goal in women with Mayer-Rokitansky-Küster-Hauser syndrome (vaginal agenesis) is creation of a neovagina that will satisfy the patient's desire. We evaluated sexual and psychosocial adjustment in patients who underwent rectosigmoid vaginoplasty because of vaginal agenesis.
A total of 36 women, aged 21 to 38 years (mean=26) who underwent rectosigmoid vaginoplasty from 1997 to 2006 were evaluated. Sexual and psychosocial appraisal included the Female Sexual Function Index (FSFI), Beck's Depression Inventory (BDI), and standardised questionnaires about postoperative satisfaction, social and sexual adjustment.
Mean FSFI score was 28.9 (range=11.5-35.7) with a cut-off score of 26.55 for sexual dysfunction. Out of the 36 women, 10 (27, 8%) had sexual dysfunction. Mean BDI score was 7.55 (cut-off score=0-9 for non-depression). Twenty-eight women (77.8%) were without symptoms of depression, six women (BDI range=10-29) had moderate and two women had severe depression (BDI=42). There were a significant number of patients (P<0.01) with a high satisfaction score in FSFI and low BDI results. Thirty-two (88.9%) of the patients believed that surgery was done at the right time and the main postoperative support came from their family. Thirty-four (94.4%) of the patients reported satisfactory femininity, with a heterosexual orientation. Thirty patients (83. 3%) were very satisfied with the surgery, while 34 considered surgery as the best treatment.
The sexual function and psychosocial status of these patients should be followed long-term to estimate their quality of life.
对于患有迈耶-罗基坦斯基-库斯特-豪泽综合征（阴道闭锁）的女性，主要目标是创建一个能满足患者需求的新阴道。我们评估了因阴道闭锁接受直肠乙状结肠阴道成形术患者的性功能和心理社会适应情况。
对1997年至2006年期间接受直肠乙状结肠阴道成形术的36名年龄在21至38岁（平均26岁）的女性进行了评估。性功能和心理社会评估包括女性性功能指数（FSFI）、贝克抑郁量表（BDI）以及关于术后满意度、社会和性适应的标准化问卷。
FSFI平均得分为28.9（范围=11.5 - 35.7），性功能障碍的临界值为26.55。在这36名女性中，10名（27.8%）存在性功能障碍。BDI平均得分为7.55（非抑郁的临界值=0 - 9）。28名女性（77.8%）无抑郁症状，6名女性（BDI范围=10 - 29）有中度抑郁，2名女性有重度抑郁（BDI = 42）。FSFI得分高且BDI结果低的患者数量显著（P<0.01）。32名（88.9%）患者认为手术时机合适，术后主要支持来自家人。34名（94.4%）患者报告女性气质令人满意，具有异性恋取向。30名（83.3%）患者对手术非常满意，34名认为手术是最佳治疗方法。
应长期跟踪这些患者的性功能和心理社会状况，以评估其生活质量。
