压力性尿失禁女性患者采用 SPARC 吊带系统治疗后的性功能。
Sexual function in women with stress urinary incontinence treated with the SPARC sling system.
机构信息
Department of Urology, Medical University of Graz (MUG), Graz, Austria.
出版信息
Biomed Res Int. 2013;2013:957547. doi: 10.1155/2013/957547. Epub 2013 Jul 14.
AIM
To evaluate the impact of SPARC on female sexual function.
METHODS
151 women with a mean age of 60 ± 11.90 and SUI had a complete urodynamic investigation and underwent SPARC operation. 98 women completed the validated female sexual function index questionnaire (FSFI) at baseline and 94 women at follow-up. A minimum follow-up of 12 months was required for study inclusion.
RESULTS
52/98 women were sexually active at baseline. Postoperatively only 33 patients were sexually active. The FSFI score of all 33 pre- and postoperative sexually active women increased from 25.3 ± 5.7 at baseline to 27.4 ± 4.8 at follow-up (P = 0.1). Scores of women with reduced sexual function at baseline increased significantly in the domains desire, arousal, and lubrication as well as orgasm and satisfaction and total FSFI-score (P = 0.002) postoperatively.
CONCLUSIONS
Our results suggest that the SPARC-sling procedure for SUI did not negatively interfere with female sexual function.
目的
评估基质细胞衍生因子 1（SDF-1）对女性性功能的影响。
方法
对 151 例年龄 60±11.90 岁、有完全尿动力学检查和 SDF-1 手术史的压力性尿失禁（SUI）女性进行了研究。98 例女性在基线时完成了经过验证的女性性功能指数问卷（FSFI），94 例在随访时完成。研究纳入的最低随访时间为 12 个月。
结果
52/98 例女性在基线时有性生活。术后只有 33 例患者有性生活。所有 33 例术前和术后有性生活的女性的 FSFI 评分均从基线时的 25.3±5.7 增加到随访时的 27.4±4.8（P=0.1）。基线时性功能减退的女性在欲望、唤起、润滑以及性高潮和满意度以及总 FSFI 评分方面的评分显著增加（P=0.002）。
结论
我们的结果表明，SDF-1 吊带手术治疗 SUI 不会对女性性功能产生负面影响。
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