Thomas G P, Maeda Y, Vaizey C J
The Sir Alan Parks Department of Physiology, St Mark's Hospital and Academic Institute, Watford Road, Harrow, HA1 3UJ, UK.
Int J Colorectal Dis. 2019 Mar;34(3):387-391. doi: 10.1007/s00384-018-03231-9. Epub 2019 Jan 11.
Faecal incontinence and constipation are common conditions which may adversely affect quality of life. They may have an adverse effect on sexual function.
This review of the published literature aimed to assess the published evidence.
Only seven published studies have reported the effect of these conditions on sexual function. Four reported on those with faecal incontinence. Two reported on those with faecal incontinence and constipation and one reported solely on constipation. All were questionnaire-based studies or retrospective reviews of institutional databases. A heterogenous mix of different measures of sexual function were applied. Conflicting findings were reported. Some studies suggested that those with faecal incontinence and constipation may have adverse sexual experiences. Others suggest that these pelvic floor disorders have no significant effect.
Further work is needed to investigate this. Large questionnaire studies with normal subject controls and adjustment for confounding factors are likely to be needed.
大便失禁和便秘是常见病症，可能对生活质量产生不利影响。它们可能对性功能产生不良影响。
本对已发表文献的综述旨在评估已发表的证据。
仅有七项已发表的研究报告了这些病症对性功能的影响。四项研究针对大便失禁患者。两项研究针对大便失禁和便秘患者，一项研究仅针对便秘患者。所有研究均为基于问卷的研究或对机构数据库的回顾性分析。采用了不同的性功能测量方法，结果相互矛盾。一些研究表明，大便失禁和便秘患者可能有不良的性经历。另一些研究则表明，这些盆底功能障碍没有显著影响。
需要进一步开展研究对此进行调查。可能需要进行大规模的问卷调查研究，设置正常受试者作为对照，并对混杂因素进行校正。
