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性交时的尿失禁:揭开误解

Incontinence during intercourse: myths unravelled.

作者信息

Jha Swati, Strelley Katherine, Radley Stephen

机构信息

Department of Urogynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

出版信息

Int Urogynecol J. 2012 May;23(5):633-7. doi: 10.1007/s00192-011-1583-0. Epub 2012 Jan 12.

DOI:10.1007/s00192-011-1583-0
PMID:22237785
Abstract

INTRODUCTION AND HYPOTHESIS

This study aimed to establish the prevalence of urinary leakage during intercourse, the extent to which urinary leakage impacts on sex life and the correlation between different urodynamic diagnosis and coital leakage.

METHODS

Four hundred eighty women attending between 1 January 2006 and December 2010 with urinary incontinence and subsequently undergoing urodynamic assessment were included. Data were collected as part of routine clinical care using the electronic Pelvic floor Assessment Questionnaire and correlated with urodynamic findings.

RESULTS

Sixty percent of women with urinary incontinence reported leakage during intercourse. Overall quality of life in women with urinary incontinence was strongly correlated to the impact of urinary symptoms on sex life. Parameters of sexual function were no different in women with different urodynamic diagnosis.

CONCLUSION

Worsening urinary incontinence has a deleterious effect on sexual function. Urodynamic diagnosis does not correlate with the nature of underlying sexual problems, orgasm or penetration incontinence.

摘要

引言与假设

本研究旨在确定性交期间漏尿的发生率、漏尿对性生活的影响程度以及不同尿动力学诊断与性交漏尿之间的相关性。

方法

纳入2006年1月1日至2010年12月期间因尿失禁就诊并随后接受尿动力学评估的480名女性。数据作为常规临床护理的一部分,通过电子盆底评估问卷收集,并与尿动力学检查结果相关联。

结果

60%的尿失禁女性报告在性交时有漏尿。尿失禁女性的总体生活质量与尿路症状对性生活的影响密切相关。不同尿动力学诊断的女性性功能参数无差异。

结论

尿失禁加重对性功能有有害影响。尿动力学诊断与潜在性问题、性高潮或插入性失禁的性质无关。

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本文引用的文献

1
Coital incontinence: relation to detrusor overactivity and stress incontinence.性交失禁:与逼尿肌过度活动和压力性尿失禁的关系。
Neurourol Urodyn. 2011 Apr;30(4):520-4. doi: 10.1002/nau.21041. Epub 2011 Jan 25.
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Comparison of ambulatory versus conventional urodynamics in females with urinary incontinence.比较女性尿失禁患者门诊与常规尿动力学检查。
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Female sexual dysfunction: are urogynecologists ready for it?女性性功能障碍:泌尿妇科医生准备好了吗?
国际女性性交性尿失禁问卷:波斯语版本的翻译、验证与信度研究
Int Urogynecol J. 2024 Jun;35(6):1171-1176. doi: 10.1007/s00192-024-05784-6. Epub 2024 May 3.
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The association of coital incontinence with clinical factors and single voiding cycle ambulatory urodynamic monitoring findings in women.女性性交性尿失禁与临床因素及单次排尿周期动态尿动力学监测结果的相关性
Front Med (Lausanne). 2023 Mar 28;10:1160637. doi: 10.3389/fmed.2023.1160637. eCollection 2023.
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Sexual functions and quality of life of women over 50 years with urinary incontinence, lower urinary tract symptoms and/or pelvic organ prolapse.50 岁以上伴有尿失禁、下尿路症状和/或盆腔器官脱垂的女性的性功能和生活质量。
Int J Impot Res. 2020 Sep;32(5):535-543. doi: 10.1038/s41443-019-0219-7. Epub 2019 Dec 11.
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Postnatal pelvic floor muscle stiffness measured by vaginal elastometry in women with obstetric anal sphincter injury: a pilot study.通过阴道弹性测定法测量产科肛门括约肌损伤女性产后盆底肌肉僵硬程度:一项初步研究。
Int Urogynecol J. 2020 Mar;31(3):567-575. doi: 10.1007/s00192-019-04136-z. Epub 2019 Dec 4.
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Development and validity of a questionnaire for coital urinary incontinence: clinical and urodynamic analysis.性交性尿失禁问卷的编制与效度:临床及尿动力学分析
Int Urogynecol J. 2019 Dec;30(12):2141-2148. doi: 10.1007/s00192-018-03863-z. Epub 2019 Jan 9.
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Differential diagnostics of female "sexual" fluids: a narrative review.女性“性”分泌物的鉴别诊断:一篇叙述性综述
Int Urogynecol J. 2018 May;29(5):621-629. doi: 10.1007/s00192-017-3527-9. Epub 2017 Dec 28.
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Evaluation of coital incontinence by electronic questionnaire: prevalence, associations and outcomes in women attending a urogynaecology clinic.通过电子问卷评估性交性尿失禁:在一家泌尿妇科诊所就诊的女性中的患病率、相关性及结局
Int Urogynecol J. 2018 Jul;29(7):969-978. doi: 10.1007/s00192-017-3380-x. Epub 2017 Jun 15.
10
Urinary leakage during sexual intercourse among women with incontinence: Incidence and risk factors.尿失禁女性性交期间的漏尿情况:发生率及危险因素
PLoS One. 2017 May 24;12(5):e0177075. doi: 10.1371/journal.pone.0177075. eCollection 2017.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jan;20(1):89-101. doi: 10.1007/s00192-008-0735-3. Epub 2008 Oct 14.
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Using electronic questionnaires to collect patient reported history.使用电子问卷收集患者自述病史。
AMIA Annu Symp Proc. 2007 Oct 11:871.
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The impact of measuring patient-reported outcomes in clinical practice: a systematic review of the literature.在临床实践中测量患者报告结局的影响:文献系统综述
Qual Life Res. 2008 Mar;17(2):179-93. doi: 10.1007/s11136-007-9295-0. Epub 2008 Jan 4.
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Computer interviewing in urogynaecology: concept, development and psychometric testing of an electronic pelvic floor assessment questionnaire in primary and secondary care.
BJOG. 2006 Feb;113(2):231-8. doi: 10.1111/j.1471-0528.2005.00820.x.
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Sexual function in women with pelvic organ prolapse compared to women without pelvic organ prolapse.与无盆腔器官脱垂的女性相比,盆腔器官脱垂女性的性功能。
J Urol. 2005 May;173(5):1669-72. doi: 10.1097/01.ju.0000154618.40300.c8.
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Neurourol Urodyn. 2002;21(3):261-74. doi: 10.1002/nau.10066.
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The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society.下尿路功能术语标准化:国际尿控协会标准化小组委员会报告
Neurourol Urodyn. 2002;21(2):167-78. doi: 10.1002/nau.10052.