a Department of Urogynaecology , Sheffield Teaching Hospitals NHS Foundation Trust , Sheffield , UK.
Climacteric. 2019 Jun;22(3):236-241. doi: 10.1080/13697137.2018.1551870. Epub 2019 Jan 7.
Sexual dysfunction in women with prolapse and incontinence is well documented in the literature, but the impact of treatment, particularly surgical correction, remains very limited and confusing. Age, on the other hand, has been shown to be an independent risk factor for deteriorating sexual function, with all aspects of the sexual function (i.e. desire, arousal, penetration, and orgasm) being affected. When combined with surgical correction of prolapse or incontinence there is potential for further worsening of sexual function, and hence this should be assessed before any pelvic floor surgery and patient expectations established. In this article the current evidence will be reviewed looking at the impact of pelvic floor dysfunction on sexual function and the effect of commonly performed surgery for these problems. Ways and means of preserving sexual function in women undergoing corrective surgery will also be investigated.
女性脱垂和失禁患者的性功能障碍在文献中有充分记载，但治疗效果，特别是手术矫正效果仍然非常有限且令人困惑。另一方面，年龄已被证明是性功能恶化的独立危险因素，性功能的各个方面（即性欲、唤起、插入和高潮）都受到影响。当与脱垂或失禁的手术矫正相结合时，性功能可能会进一步恶化，因此在进行任何骨盆底手术之前都应该评估，同时确定患者的预期。本文将回顾目前的证据，探讨骨盆底功能障碍对性功能的影响，以及这些问题常见手术的效果。还将研究女性在接受矫正手术时保持性功能的方法。
