Pronk Akke, Kastelijns Lotte, Smakman Niels, Furnee Edgar
Surgery, Diakonessenhuis, Utrecht, NLD.
General Medicine, Royal Dutch Army, Utrecht, NLD.
Cureus. 2020 Mar 2;12(3):e7159. doi: 10.7759/cureus.7159.
Introduction Sexual function is one of the aspects upon which quality of life (QoL) is based. Although previous studies have evaluated the influence of sacrococcygeal pilonidal sinus disease (SPSD) on QoL, no data are available on the influence of SPSD on sexual function in a highly active sexual population based on the age range. The aim of this prospective study was to evaluate whether SPSD has a negative impact on sexual function and whether this is influenced by the surgical treatment of SPSD. Methods Sexual function was pre- and postoperatively assessed by the Sexual Self-Consciousness Scale (SSCS; score range 0-48), subdivided into the sexual embarrassment (SE; score range 0-24) and sexual self-focus subscale (SFF; score range 0-24). The higher the score, the higher is the sexual dysfunction. Patients were also asked whether SPSD influenced their sexual functioning. Results A total of 88 male patients who underwent surgical treatment for SPSD were included in the study. The mean (±SD) preoperative SSCS score was 14.5±9.1 and 13.9±8.4 two weeks postoperatively (p=0.394). Six and twelve weeks after surgery, there was a significant reduction to 12.2±9.0 (p=0.002) and 12.3±8.8 (p=0.013), respectively. SE decreased from 5.5±5.1 preoperatively to 5.1±4.6 (p=0.258), 4.2±4.7 (p=0.004) and 4.0±4.6 (p=0.013) two, six, and twelve weeks after surgery. For SFF, there was a decrease from 9.0±5.0 to 8.9±4.9 (p=0.717), 7.8±5.2 (p=0.004) and 8.2±5.3 (p=0.168), respectively. Preoperatively, 70% of the patients totally or partially disagreed that SPSD influenced their sexual functioning, and this increased to 80% of the patients 12 weeks after surgery. Conclusion This prospective study showed a significant decrease in sexual dysfunction, both six and twelve weeks after surgery, compared to preoperatively in patients suffering from SPSD.
引言 性功能是生活质量（QoL）所基于的方面之一。尽管先前的研究评估了骶尾部藏毛窦疾病（SPSD）对生活质量的影响，但在基于年龄范围的高活性性人群中，尚无关于SPSD对性功能影响的数据。本前瞻性研究的目的是评估SPSD是否对性功能有负面影响，以及这是否受SPSD手术治疗的影响。方法 通过性自我意识量表（SSCS；评分范围0 - 48）对性功能进行术前和术后评估，该量表分为性尴尬（SE；评分范围0 - 24）和性自我关注子量表（SFF；评分范围0 - 24）。分数越高，性功能障碍越严重。还询问患者SPSD是否影响其性功能。结果 本研究共纳入88例接受SPSD手术治疗的男性患者。术前SSCS平均（±标准差）评分为14.5±9.1，术后两周为13.9±8.4（p = 0.394）。术后六周和十二周，评分分别显著降至12.2±9.0（p = 0.002）和12.3±8.8（p = 0.013）。SE从术前的5.5±5.1分别降至术后两周的5.1±4.6（p = 0.258）、六周的4.2±4.7（p = 0.004）和十二周的4.0±4.6（p = 0.013）。对于SFF，分别从9.0±5.0降至8.9±4.9（p = 0.717）、六周的7.8±5.2（p = 0.004）和十二周的8.2±5.3（p = 0.168）。术前，70%的患者完全或部分不同意SPSD影响其性功能，术后十二周这一比例增至80%。结论 这项前瞻性研究表明，与术前相比，SPSD患者术后六周和十二周时性功能障碍显著降低。
