经闭孔尿道中段悬吊带术对女性性功能的 2 年随访影响：前瞻性队列研究与匹配对照组。

Effects of transobturator tape procedure on female sexual function at 2-year follow-up: A prospective cohort study with matched control group.

机构信息

Department of Obstetrics and Gynecology, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.

Department of Obstetrics and Gynecology, Yıldırım Doruk Special Hospital, Bursa, Turkey.

出版信息

Low Urin Tract Symptoms. 2022 Sep;14(5):358-365. doi: 10.1111/luts.12445. Epub 2022 May 23.

DOI:10.1111/luts.12445

PMID:35603770

Abstract

OBJECTIVES

We aimed to compare the effect of elapsed time on sexual function in women who underwent a transobturator tape (TOT) procedure for stress urinary incontinence (SUI) with continent controls.

METHODS

Urinary and sexual function of 70 females were assessed preoperatively at month 6 and postoperatively at month 24 in the study group. Forty-five patients without urinary incontinence and demographically matched with the study group were assessed for sexual function at first administration and 24 months later in the control group. The Female Sexual Function Index (FSFI) was used.

RESULTS

The baseline total FSFI score (23.4 ± 3.2 vs 27.0 ± 4.3, P < .001) was significantly lower in patients with SUI. There was a slight increase (24.0 ± 3.0, P = .167) in sexual function at the end of 2 years in the study group, whereas in the control group, the total FSFI score (25.0 ± 4.5, P < .001) decreased significantly within 2 years. The success of the incontinence surgery was associated with higher long-term sexual function scores.

CONCLUSIONS

Successful TOT surgery can improve sexual function in women with SUI. This improvement decreases less over time compared to healthy controls.

摘要

目的

我们旨在比较行经闭孔尿道中段吊带术（TOT）治疗压力性尿失禁（SUI）女性患者与有控尿能力的对照组之间，时间推移对性功能的影响。

方法

研究组中 70 名女性患者在术前、术后第 6 个月和第 24 个月接受尿控和性功能评估。对照组中，45 名无尿失禁且与研究组在人口统计学上相匹配的患者在首次就诊时和 24 个月后接受性功能评估。采用女性性功能指数（FSFI）进行评估。

结果

SUI 患者的基线总 FSFI 评分（23.4±3.2 分 vs 27.0±4.3 分，P<.001）明显较低。研究组在 2 年内性功能略有增加（24.0±3.0，P=.167），而对照组的总 FSFI 评分（25.0±4.5，P<.001）在 2 年内显著下降。尿失禁手术的成功与更高的长期性功能评分相关。