Zietarska Cisak Magdalena, Zwierzchowska Aneta, Barcz Ewa, Horosz Edyta
Multidisciplinary Hospital Warsaw-Miedzylesie, Warsaw, Poland, Poland.
Chair of Gynecology and Obstetrics, Medical Faculty of Cardinal Stefan Wyszynski University, Warsaw, Poland, Poland.
Ginekol Pol. 2023 Mar 28. doi: 10.5603/GP.a2023.0029.
Sexual health is an essential component of women's wellbeing. Women with pelvic organ prolapse (POP) often suffer from sexual dysfunction. The current review focuses on the impact of POP as well as surgical POP repair on sexual function. A variety of techniques are discussed in relation to this issue, including native tissue repair (NTR), transvaginal mesh (TVM) and sacrocolpopexy (SCP). The majority of studies utilise validated questionnaires to assess sexual function in women pre- and post-POP repair and FSFI (Female Sexual Function Index) and PISQ-IR (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-IUGA revised) are among the most commonly used. According to the available data, surgical management of POP usually results in improved or unchanged scores in sexual function, regardless of the type of procedure used. SCP appears to be the preferred surgical management for women with apical vaginal prolapse that minimises the risk of dyspareunia as compared to vaginal techniques.
性健康是女性健康的重要组成部分。患有盆腔器官脱垂（POP）的女性常伴有性功能障碍。本综述聚焦于盆腔器官脱垂及其手术修复对性功能的影响。围绕这一问题讨论了多种技术，包括自体组织修复（NTR）、经阴道网片（TVM）和骶骨阴道固定术（SCP）。大多数研究使用经过验证的问卷来评估盆腔器官脱垂修复前后女性的性功能，其中女性性功能指数（FSFI）和盆腔器官脱垂/尿失禁性功能问卷-国际尿控学会修订版（PISQ-IR）是最常用的。根据现有数据，无论采用何种手术方式，盆腔器官脱垂的手术治疗通常会使性功能评分得到改善或保持不变。与阴道手术技术相比，骶骨阴道固定术似乎是治疗阴道顶端脱垂女性的首选手术方式，可将性交困难的风险降至最低。
