Pakbaz Mojgan, Rolfsman Ewa, Löfgren Mats
Department of Clinical Sciences, Obstetrics and Gynaecology, Umeå University, SE-901 87, Umeå, Sweden.
Department of Applied Educational Science, Umeå University, Umeå, Sweden.
BMC Womens Health. 2017 Aug 25;17(1):68. doi: 10.1186/s12905-017-0426-7.
Surgery for pelvic organ prolapse, urinary incontinence, and hysterectomy are the most common gynaecological surgeries that can affect the function of the bladder and bowel as well as one's sexual life. There is evidence that adequate patient information given preoperatively regarding expected outcomes of surgery is important because well-informed patients are more satisfied with the results of surgery and recover faster. However, there is little known about the amount and quality of information given to women before surgery. This study investigates whether women received information before gynaecological surgery on the effect of surgery with respect to the functioning of the bladder (micturition, ability to stay continent) and the bowel (empty bowel) as well as the surgery's effect on sexual functioning.
A prospective, cross-sectional study was conducted. Women undergoing hysterectomy, surgery for vaginal prolapse, or surgery for urinary incontinence (n = 972) and included in the Swedish National Register for Gynaecological Surgery participated in the study. A questionnaire was developed and distributed to the women along with the preoperative questionnaire from the register.
About 50% of the women undergoing prolapse surgery were supplied with information regarding the effect of the surgery with respect to remaining continent, to emptying bowels, micturitaion, and sexual life. One out of four women undergoing hysterectomy received information about the effect of the surgery on the sexual life and bladder function. In the incontinence group, the given information about the surgery's effect on bladder function and sexual function was 80 and 30%, respectively.
Surgery in the vagina and the genital organs may affect function of the organs close to the surgical area (i.e., bladder and bowel) and may affect sexual function. According to this study, women are inadequately informed before surgery. Access to information via oral and written counselling needs to be improved.
盆腔器官脱垂、尿失禁及子宫切除术是最常见的妇科手术，这些手术可能影响膀胱和肠道功能以及性生活。有证据表明，术前向患者提供有关手术预期结果的充分信息很重要，因为了解充分的患者对手术结果更满意，康复也更快。然而，对于术前向女性提供的信息数量和质量，人们知之甚少。本研究调查女性在妇科手术前是否收到关于手术对膀胱功能（排尿、控尿能力）、肠道功能（排便）以及性功能影响的信息。
进行了一项前瞻性横断面研究。纳入瑞典国家妇科手术登记册的接受子宫切除术、阴道脱垂手术或尿失禁手术的女性（n = 972）参与了该研究。设计了一份问卷，并与登记册中的术前问卷一起分发给这些女性。
约50%接受脱垂手术的女性收到了关于手术对控尿、排便、排尿及性生活影响的信息。接受子宫切除术的女性中，四分之一收到了关于手术对性功能和膀胱功能影响的信息。在尿失禁组中，关于手术对膀胱功能和性功能影响的信息提供率分别为80%和30%。
阴道和生殖器官手术可能影响手术区域附近器官（即膀胱和肠道）的功能，并可能影响性功能。根据本研究，女性在手术前未得到充分的信息告知。需要通过口头和书面咨询来改善信息获取情况。
