St Olavs Hospital, Trondheim, Norway; Institute of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
Acta Obstet Gynecol Scand. 2013 Nov;92(11):1304-12. doi: 10.1111/aogs.12237.
To analyze factors predictive for changes in sexual function after pelvic floor surgery and explore differences between stress urinary incontinence (SUI) and pelvic organ prolapse (POP) surgery.
Prospective observational study.
St Olav Hospital, Trondheim University Hospital, Norway.
Of 346 mailed questionnaires for women scheduled for SUI and POP surgery, 65 questionnaires were available for analysis together with examination findings before and 1 year after surgery.
Postal questionnaires including Prolapse and Incontinence Sexual Function Questionnaire (PISQ 12), Hopkins Symptom Checklist 5 for psychological distress, questions from the validated Body Image Questionnaire, a general health question, questions addressing goals for improvement after surgery, clinical findings based on the Pelvic Organ Prolapse Quantification System and Brief Sexual Function Index for partners. Uni- and multivariate linear regressions adjusting for age were performed.
Change in PISQ 12 score at follow-up.
Sexual function significantly improved in the total group (p = 0.000). After stratification into SUI and POP surgery, improvement only remained significant after SUI surgery (p = 0.001). Improvement for the total group was predicted by good health or coital incontinence, whereas psychological distress or the goal of improved defecation predicted deterioration. For women undergoing SUI surgery, increasing age, parity or the goal of improving sexuality or body image predicted improvement, while for women undergoing POP surgery, menopausal status or anterior colporrhaphy predicted improvement.
Significantly improved sexuality was observed after pelvic floor surgery. Predictive factors for change differed for women undergoing SUI surgery and and those undergoing POP surgery.
分析盆底手术后性功能变化的预测因素，并探讨压力性尿失禁（SUI）和盆腔器官脱垂（POP）手术之间的差异。
前瞻性观察研究。
挪威特隆赫姆大学医院圣奥拉夫医院。
对 346 份邮寄给计划接受 SUI 和 POP 手术的女性的问卷进行了分析，其中 65 份问卷可用于分析，包括手术前和手术后 1 年的检查结果。
邮寄问卷包括脱垂和尿失禁性功能问卷（PISQ 12）、霍普金斯症状清单 5 用于心理困扰、验证后的身体意象问卷的问题、一般健康问题、术后改善目标的问题、基于盆腔器官脱垂量化系统的临床发现和伴侣的简要性功能指数。进行了单变量和多变量线性回归分析，并调整了年龄因素。
随访时 PISQ 12 评分的变化。
总组的性功能显著改善（p=0.000）。在分层为 SUI 和 POP 手术后，仅在 SUI 手术后改善仍具有统计学意义（p=0.001）。总组的改善由良好的健康状况或性交时尿失禁预测，而心理困扰或改善排便的目标则预测恶化。对于接受 SUI 手术的女性，年龄增长、多产或改善性行为或身体形象的目标预测改善，而对于接受 POP 手术的女性，绝经状态或前阴道修补术预测改善。
盆底手术后观察到性功能显著改善。变化的预测因素在接受 SUI 手术和 POP 手术的女性之间存在差异。
