在一家三级转诊中心就诊的女性中，大便失禁与性活动及性功能之间的关联。
The association between fecal incontinence and sexual activity and function in women attending a tertiary referral center.
作者信息
Cichowski Sara B, Komesu Yuko M, Dunivan Gena C, Rogers Rebecca G
机构信息
Fellow Female Pelvic Medicine and Reconstructive Surgery, University of New Mexico, Albuquerque, NM 87131-0001, USA.
出版信息
Int Urogynecol J. 2013 Sep;24(9):1489-94. doi: 10.1007/s00192-013-2044-8. Epub 2013 Feb 7.
INTRODUCTION AND HYPOTHESIS
To determine whether fecal incontinence (FI) is associated with sexual activity and to compare sexual function in women with and without FI.
METHODS
We conducted a retrospective chart review of all new patients seen in an academic urogynecology clinic. Women who reported fecal incontinence, as defined by loss of fecal material on the Wexner scale, were compared with those without fecal incontinence. We compared sexual activity and Pelvic Organ Prolapse Incontinence Sexual Questionnaire-12 (PISQ-12) scores between groups.
RESULTS
In our population of women with pelvic floor disorder, 588 women reported FI compared with 527 who did not. On multivariate analysis, FI was not associated with sexual activity status, but was associated with worsened PISQ-12 scores (p < 0.001). PISQ-12 item analysis found that women with FI reported more dyspareunia, fear, and avoidance of sexual activity with greater partner problems (all p <0.05) than women without FI.
CONCLUSIONS
Women with FI were as likely to engage in sexual relations as women without FI; however, sexually active women with FI had poorer sexual function than those without FI.
引言与假设
确定大便失禁（FI）是否与性活动相关，并比较有和无大便失禁的女性的性功能。
方法
我们对一家学术性泌尿妇科诊所诊治的所有新患者进行了回顾性病历审查。将根据韦克斯纳量表定义的有大便失禁（即有粪便排出）报告的女性与无大便失禁的女性进行比较。我们比较了两组之间的性活动和盆腔器官脱垂失禁性功能问卷-12（PISQ-12）评分。
结果
在我们的盆底功能障碍女性人群中，588名女性报告有大便失禁，527名女性无大便失禁。多因素分析显示，大便失禁与性活动状态无关，但与PISQ-12评分恶化相关（p<0.001）。PISQ-12项目分析发现，与无大便失禁的女性相比，有大便失禁的女性报告更多性交困难、恐惧和回避性活动，且伴侣问题更多（所有p<0.05）。
结论
有大便失禁的女性与无大便失禁的女性进行性行为的可能性相同；然而，有大便失禁的性活跃女性的性功能比无大便失禁的女性差。
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