Sholeh Shahghaibi, Asso. Prof. of Gynecology, Dept. of Gynecology, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Sana Faizi, General Practitioner, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Pak J Med Sci. 2013 Jan;29(1):157-60. doi: 10.12669/pjms.291.2610.
To evaluate the effect of colporrhaphy on sexual problems of women with pelvic organ prolapseis.
Sixty patients with pelvic organ prolapse (cystocele - rectocele) in a quasi-experimental study before and after treatment were included. Presence of pelvic organ prolapseis was assessed by examination in the lithotomy position. Degree of prolapse was determined according to Pelvic organ Prolapse Quantification (POPQ). Their degree of prolapse was marked from 1 to 3 then was colporrhaphy performed. Follow up of patients for sexual satisfaction was performed three and six months after surgery by telephone and interviews. Data were analyzed by SPSS version 15, the McNamara test, T-test, absolute and relative frequency, mean and standard deviation.
In sixty (60) women who were studied the mean and standard deviation of pregnancy and delivery rate were 4.4 ±2.2 and 4±2.1 respectively. About 65% of patients were over 35 years of age, 88.3% of women had the history of vaginal delivery and 10% of them had both the history of vaginal delivery and cesarean section. Score of sexual desire abstaining from sex and orgasm due to vaginal bulge before, 3 months and 6 months after colporrhaphy was significant (p=0.0001), but of sexual arousal scores there was no differences between each other. Mean of sexual satisfaction before operation was 30.75±5.70 and three months after operation it was 33.77±4.24 and six months after operation 36.03±3.5 which according to T-Test there was significant (p=0.0001).
Sexual desire, orgasm and sexual satisfaction increased after colporrhaphy, frequency of intercourse and sexual arousal remains unchanged. It appears that colporrhaphy reduce symptoms associated with prolapse which is leading to sexual dissatisfaction and improved sexual satisfaction.
评估阴道封闭术对盆腔器官脱垂患者性功能问题的影响。
在一项治疗前后的准实验研究中，纳入了 60 名患有盆腔器官脱垂（膀胱膨出-直肠膨出）的患者。采用截石位检查评估盆腔器官脱垂的存在。根据盆腔器官脱垂量化（POPQ）确定脱垂程度。脱垂程度标记为 1 至 3 级，然后进行阴道封闭术。术后 3 个月和 6 个月通过电话和访谈对患者的性满意度进行随访。数据采用 SPSS 版本 15、McNamara 检验、T 检验、绝对和相对频率、均值和标准差进行分析。
在 60 名接受研究的女性中，妊娠和分娩率的平均值和标准差分别为 4.4±2.2 和 4±2.1。约 65%的患者年龄超过 35 岁，88.3%的女性有阴道分娩史，10%的女性既有阴道分娩史又有剖宫产史。阴道膨出导致性欲减退、性高潮和避免性行为的评分在阴道封闭术前、术后 3 个月和 6 个月时均有显著差异（p=0.0001），但性唤起评分在各时间点之间无差异。手术前的性满意度平均为 30.75±5.70，术后 3 个月为 33.77±4.24，术后 6 个月为 36.03±3.5，根据 T 检验，差异具有统计学意义（p=0.0001）。
阴道封闭术后性欲、性高潮和性满意度增加，性交频率和性唤起保持不变。阴道封闭术似乎可以减轻与脱垂相关的症状，从而改善患者的性满意度。
