Eftekhar Tahereh, Hajibabaei Marzieh, Veisi Firoozeh, Ghanbari Zinat, Montazeri Ali
Division of Pelvic Floor and Reconstructive Surgery, Department of Obstetrics and Gynecology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.
J Family Reprod Health. 2021 Dec;15(4):252-257. doi: 10.18502/jfrh.v15i4.7892.
This study aimed to compare women's body image, sexual function and satisfaction before and after gynecologic cosmetic surgery. The study also aimed to assess women husband's sexual satisfaction. This was a pretest-posttest study. A sample of 50 women attending the pelvic floor clinic of Tehran University of Medical Sciences for gynecologic cosmetic surgery was entered into the study. Surgeries included labiaplasty, clitoral hoodectomy, vaginoplasty, vaginal rejuvenation, anterior and posterior colporrhaphy, perineoplasty, and perineorrhaphy. Women were assessed for the Body Image Quality of Life Inventory (BIQLI), the Larson Sexual Satisfaction Questionnaire (LSSQ-F), and Female Sexual Function Inventory (FSFI-6) at two points in time: baseline (one week before surgery) and 3 months after surgery. Similarly, the male partners were assed for sexual satisfaction using the Larson Sexual Satisfaction Questionnaire (LSSQ-M). To analyze the data paired samples t-test was applied. The mean (SD) age of women was 43.36 (8.6) years and the mean (SD) duration of marriage was 22.18 (9.7) years. Ninety-four percent had history of vaginal delivery and 58.7 percent attend surgery due to husband's sexual dissatisfaction. The results showed that women's body image, sexual function and couples' sexual satisfaction improved significantly after gynecologic cosmetic surgery (p ≤ 0.001). The findings suggest that female genital cosmetic surgery improved the body image and sexual function of women and sexual satisfaction in couples that might lead to a more pleasurable and healthier marital relationship.
本研究旨在比较妇科整形手术前后女性的身体意象、性功能及满意度。该研究还旨在评估女性丈夫的性满意度。这是一项前后测研究。选取了50名在德黑兰医科大学盆底诊所接受妇科整形手术的女性作为样本纳入研究。手术包括阴唇整形术、阴蒂包皮切除术、阴道成形术、阴道年轻化手术、阴道前后壁修补术、会阴成形术和会阴修补术。在两个时间点对女性进行评估，分别是基线期（手术前一周）和术后3个月，评估内容包括生活质量身体意象量表（BIQLI）、拉森性满意度问卷（LSSQ - F）和女性性功能指数（FSFI - 6）。同样，男性伴侣通过拉森性满意度问卷（LSSQ - M）来评估性满意度。采用配对样本t检验分析数据。女性的平均（标准差）年龄为43.36（8.6）岁，平均（标准差）婚姻时长为22.18（9.7）年。94%的女性有阴道分娩史，58.7%的女性因丈夫的性不满而接受手术。结果显示，妇科整形手术后女性的身体意象、性功能及夫妻性满意度均有显著改善（p≤0.001）。研究结果表明，女性生殖器整形手术改善了女性的身体意象和性功能以及夫妻间的性满意度，这可能会带来更愉悦、更健康的婚姻关系。
