Haase P, Skibsted L
Department of Obstetrics and Gynaecology, Copenhagen County Hospital, Herlev, Denmark.
Acta Obstet Gynecol Scand. 1988;67(7):659-61. doi: 10.3109/00016348809004283.
A variety of operations for stress incontinence or genital descensus are performed in gynecological department. The purpose of this study was to find out whether these operations influenced the patients' sexual life. In a prospective study of 55 women, all sexually active prior to the operation, various characteristics were evaluated by interview and gynaecological examination, immediately before and 6 months after the operation. We had adviced early resumption of sexual intercourse. Postoperatively, 13 of 55 (24%) patients experienced improvement in their sexual life, 37 of 55 (67%) no change, and 5 of 55 (9%) experienced a deterioration. Improvement often resulted from cessation of urinary incontinence. Deterioration was in all 5 cases due to dyspareunia and all 5 patients underwent a posterior colporrhaphy as part of the operation. We conclude that provided the patients are well-informed the prognosis for sexual life after these operations is good. However, colpoperineoplasty in combination with anterior colporrhaphy might cause dyspareunia in some patients.
妇科会进行多种治疗压力性尿失禁或生殖器脱垂的手术。本研究的目的是探究这些手术是否会影响患者的性生活。在一项针对55名女性的前瞻性研究中，所有患者在手术前均有性生活，在手术前及术后6个月通过访谈和妇科检查对各项特征进行评估。我们建议患者尽早恢复性生活。术后，55名患者中有13名（24%）性生活得到改善，37名（67%）无变化，5名（9%）出现恶化。改善通常源于尿失禁的停止。5例恶化均是由于性交困难，且这5名患者均接受了后阴道修补术作为手术的一部分。我们得出结论，只要患者充分了解情况，这些手术后性生活的预后良好。然而，会阴阴道成形术联合前阴道修补术可能会在一些患者中导致性交困难。
