Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Ankara Yildirim Beyazit University, Ankara, Turkey.
Department of Physiotherapy and Rehabilitation, Health Sciences Faculty, Hatay Mustafa Kemal University, Hatay, Turkey.
J Sex Med. 2022 Sep;19(9):1421-1430. doi: 10.1016/j.jsxm.2022.07.003. Epub 2022 Aug 5.
In women with overactive bladder (OAB), sexual dysfunctions and sexual satisfaction of their partners have been problems that are as important as urinary symptoms.
To investigate the effects of pelvic floor muscle training (PFMT) on sexual dysfunction, sexual satisfaction of partners, urinary symptoms, and pelvic floor muscle strength (PFMS) in women with OAB.
Women with OAB were randomized into 2 groups: 6-week PFMT (n = 21) (home exercise program) and a control group (n = 22) (did not receive any treatment for OAB).
Sexual dysfunction, sexual satisfaction of partner, urinary symptoms, and PFMS were assessed at baseline and after 6 weeks with the Female Sexual Function Index (FSFI), a Visual Analogue Scale (VAS), the OAB-Version8 (OAB-V8), and the Modified Oxford Scale (MOS), respectively.
After 6 weeks, there was an increase in FSFI domains [desire (95% CI: 0.18 to 0.64; P:.001, d: 0.88); arousal (95% CI: 0.42 to 1.24, P:<.001, d: 1.17); orgasm (95% CI:0.85 to 1.47; P:<.001, d:1.89); satisfaction (95% CI: 0.85 to 1.44; P:<.001, d: 2.29); sexual pain (95% CI:0.80 to 1.52; P:<.001, d:1.47); total score (95% CI: 3.70 to 5.94; P:<.001, d: 2.55)], sexual satisfaction of partners (95% CI: 1.80 to 2.85; P:<.001, d:2.83) and PFMS scores (95% CI: 1.10 to 1.55; P:<.001, d:3.18), and a decrease in the OAB-V8 score (95% CI: -13.01 to -7.10; P:<.001, d:2.19) in the PFMT group compared to the control group. There was a significant decrease in sexual dysfunction in the PFMT group compared to the control group (P:.046).
In order to improve sexual function, sexual satisfaction of the partners, urinary symptoms, and PFMS in women with OAB, PFMT should be added to the rehabilitation program in clinics.
STRENGTHS & LIMITATIONS: The strength of this study was that it is a randomized controlled trial investigating the effect of PFMT in improving sexual function in OAB. The limitations of our study were the lack of a long-term (6 months-1 year) follow-up and the inability to blind.
PFMT was effective in improving sexual dysfunction, sexual satisfaction of partners, urinary symptoms, and PFMS in women with OAB. Celenay ST, Karaaslan Y, Ozdemir E. Effects of Pelvic Floor Muscle Training on Sexual Dysfunction, Sexual Satisfaction of Partners, Urinary Symptoms, and Pelvic Floor Muscle Strength in Women With Overactive Bladder: A Randomized Controlled Study. J Sex Med 2022;19:1421-1430.
在患有膀胱过度活动症（OAB）的女性中，性功能障碍和其伴侣的性满意度与尿症状同样重要。
研究盆底肌训练（PFMT）对 OAB 女性性功能障碍、伴侣性满意度、尿症状和盆底肌力量（PFMS）的影响。
将 OAB 女性随机分为 2 组：6 周 PFMT 组（n=21）（家庭运动方案）和对照组（n=22）（未接受 OAB 治疗）。
在 6 周后，PFMT 组的女性性功能指数（FSFI）各领域评分[欲望（95%置信区间：0.18 至 0.64；P<.001，d：0.88）；唤醒（95%置信区间：0.42 至 1.24，P<.001，d：1.17）；高潮（95%置信区间：0.85 至 1.47；P<.001，d：1.89）；满意度（95%置信区间：0.85 至 1.44；P<.001，d：2.29）；性疼痛（95%置信区间：0.80 至 1.52；P<.001，d：1.47）；总评分（95%置信区间：3.70 至 5.94；P<.001，d：2.55）]、伴侣性满意度（95%置信区间：1.80 至 2.85；P<.001，d：2.83）和 PFMS 评分（95%置信区间：1.10 至 1.55；P<.001，d：3.18）均增加，OAB-V8 评分（95%置信区间：-13.01 至-7.10；P<.001，d：2.19）降低，与对照组相比，PFMT 组的性障碍显著降低（P=.046）。
为了改善 OAB 女性的性功能、伴侣的性满意度、尿症状和 PFMS，应在临床康复计划中增加 PFMT。
本研究的优势在于它是一项随机对照试验，旨在研究 PFMT 对 OAB 女性性功能的影响。本研究的局限性在于缺乏 6 个月至 1 年的长期随访和无法进行盲法。
PFMT 可有效改善 OAB 女性的性功能障碍、伴侣性满意度、尿症状和 PFMS。
