Department of Gynecology and Gynecologic Oncology, University Hospital of Basel, Basel, Switzerland.
Womens Health (Lond). 2022 Jan-Dec;18:17455057221111067. doi: 10.1177/17455057221111067.
Colpocleisis is a surgical treatment for pelvic organ prolapse that results in vaginal obliteration. This review aims to systematically evaluate the quality of life, changes in body image, regret, and impact on sexual activity in women after colpocleisis. A review was conducted using the PubMed and Scopus databases with search criteria specifying pelvic organ prolapse, colpocleisis, quality of life, body image, regret, sexuality, and their synonyms. For the selection of the eligible articles, we used the PRISMA reporting system. A total of 1285 articles were found. After removing duplicates and applying the inclusion and exclusion criteria, 30 articles were reviewed in full length. Quality of life after colpocleisis was evaluated in 22 articles, and 20 authors used validated questionnaires. All concluded that quality of life improved after surgical treatment. Twenty-one articles studied regret after obliterative treatment for pelvic organ prolapse. Most of the patients reported no regret. Regret was often due to bowel and bladder symptoms. A few patients reported regret because of loss of coital function. Body image was highlighted in six studies. Three articles assessed body image using the modified Body Image scale. The body image scores demonstrated a significant improvement after surgery. Women tended to remain sexually active and some also regained sexual activities after surgery. Colpocleisis remains a viable option for pelvic organ prolapse, without compromising quality of life, body image, or sexuality, but diligent patient selection is needed. Particular concern should be given to bladder and bowel symptoms since these are the main reason for dissatisfaction after colpocleisis.
阴道封闭术是一种治疗盆腔器官脱垂导致阴道闭锁的手术方法。本综述旨在系统评价阴道封闭术后女性的生活质量、身体形象变化、后悔感和对性生活的影响。我们使用 PubMed 和 Scopus 数据库进行了综述，检索词包括盆腔器官脱垂、阴道封闭术、生活质量、身体形象、后悔感、性生活及其同义词。我们使用 PRISMA 报告系统选择合格文章。共发现 1285 篇文章。在去除重复项并应用纳入和排除标准后，全文回顾了 30 篇文章。有 22 篇文章评估了阴道封闭术后的生活质量，20 位作者使用了经过验证的问卷。所有文章都得出结论，生活质量在手术治疗后得到了改善。有 21 篇文章研究了盆腔器官脱垂闭塞性治疗后的后悔感。大多数患者表示没有后悔。后悔往往是由于肠和膀胱症状引起的。少数患者报告说，由于丧失性交功能而感到后悔。身体形象在 6 项研究中得到强调。有 3 篇文章使用改良的身体形象量表评估身体形象。手术后身体形象评分显著改善。女性往往仍然保持性生活活跃，一些女性在手术后也恢复了性生活。阴道封闭术仍然是治疗盆腔器官脱垂的可行选择，不会影响生活质量、身体形象或性生活，但需要进行仔细的患者选择。特别关注膀胱和肠道症状，因为这些是阴道封闭术后不满意的主要原因。
