Department of Obstetrics and Gynecology, Ludwig-Maximilians-University Munich, Maistrasse, Germany.
Eur J Obstet Gynecol Reprod Biol. 2013 Oct;170(2):567-70. doi: 10.1016/j.ejogrb.2013.08.002. Epub 2013 Aug 11.
To evaluate sexual function among German urogynecological patients compared to a control group without urogynecological symptoms, using the validated German version of the Australian pelvic floor questionnaire.
Retrospective study including 313 women divided into five subgroups: women with stress urinary incontinence (SUI), overactive bladder (OAB), mixed incontinence (MI), pelvic organ prolapse (POP) and healthy controls. The self-administered questionnaire is divided into three domains: bladder, pelvic organ prolapse, and sexual function. It also includes severity, bothersomeness and condition-specific quality of life. Only completely filled out questionnaires were included. The Mann-Whitney U-test was used as a non-parametric test to calculate significances for ordinal data. A p-value <.05 was taken as significant.
16/59 (27.1%) women in the control group were not sexually active compared to 19/60 (31.7%) in the SUI group, 51/98 (52.0%) in the mixed-incontinence group, 19/43 (44.2%) in the OAB group, and 24/53 (45.3%) in the prolapse group. Coital incontinence was present significantly more often in women with SUI (15/41, 36.6%) or mixed incontinence (20/44, 45.5%) than among the controls (1/49, 2.1%). Hence, concerning sexuality, women with urogynecological symptoms were all significantly more affected than the healthy controls.
The German version of the Australian pelvic floor questionnaire is a feasible tool to evaluate not only symptoms of urinary incontinence and pelvic organ prolapse but also sexual dysfunction. A substantial proportion of our urogynecological patients suffer immensely from problems with their sexuality, and it is therefore our responsibility as physicians to provide assistance and improve our education in this field.
使用经过验证的澳大利亚盆底问卷的德文版，评估德国泌尿妇科患者的性功能与无泌尿妇科症状的对照组相比的情况。
回顾性研究，纳入 313 名女性，分为五个亚组：压力性尿失禁（SUI）、膀胱过度活动症（OAB）、混合性尿失禁（MI）、盆腔器官脱垂（POP）和健康对照组。自我管理问卷分为三个领域：膀胱、盆腔器官脱垂和性功能。它还包括严重程度、困扰程度和特定于病情的生活质量。仅纳入完全填写的问卷。使用非参数检验中的曼-惠特尼 U 检验来计算等级数据的显著性。p 值<.05 被认为具有统计学意义。
在对照组中，有 16/59（27.1%）名女性没有性生活，而在 SUI 组中为 19/60（31.7%），在混合性尿失禁组中为 51/98（52.0%），在 OAB 组中为 19/43（44.2%），在脱垂组中为 24/53（45.3%）。在 SUI（15/41，36.6%）或混合性尿失禁（20/44，45.5%）的女性中，性交时尿失禁明显更为常见，而在对照组中仅为 1/49（2.1%）。因此，就性行为而言，有泌尿妇科症状的女性均明显比健康对照组受到更大的影响。
澳大利亚盆底问卷的德文版是一种可行的工具，不仅可以评估尿失禁和盆腔器官脱垂的症状，还可以评估性功能障碍。我们相当一部分泌尿妇科患者在性生活方面受到极大困扰，因此，作为医生，我们有责任在这方面提供帮助并加强教育。
