Villa Nara Abe Cairo, Benetti-Pinto Cristina Laguna, Yela Daniela Angerame
Faculdade de Medicina da Universidade Estadual de Campinas, Departamento de Obstetrícia e Ginecologia, Campinas, SP, Brasil.
Arq Gastroenterol. 2023 Apr-Jun;60(2):257-263. doi: 10.1590/S0004-2803.202302023-47.
•Women with intestinal endometriosis may have impaired quality of life and altered bowel habits. Intestinal endometriosis can be treated medically or surgically. The bowel function of these women is directly correlated with sexual function and quality of life, regardless of the type of treatment. Background - Women with intestinal endometriosis may have a higher incidence of constipation, which may influence their quality of life. Objective - To correlate bowel function with sexual function and quality of life in women with deep endometriosis according to the type of treatment. Methods - Cross-sectional study carried out with 141 women with bowel endometriosis from May 2020 to April 2021. Women were divided into two groups according to kind of treatment: 51 women with surgery treatment and 90 women with medical treatment. The Endometriosis Health Profile Questionnaire were used to assess quality of life e Female Sexual Function Index were used to assess sexual function. To access bowel function we used the following questionnaires: Gastrointestinal Quality of Life Index and Pelvic Floor Distress Inventory. Results - The mean age of women in the surgical group (37.98±5.91years) was higher than that of the medical group (35.68±5.45years) (P=0.006). There was no statistically significant difference between pain symptoms (P=0.905), water intake (P=0.573) or fiber (P=0.173) and physical activity (P=0.792) in both groups. There was no difference between quality of life and sexual function in both groups. There was a direct correlation of bowel function with quality of life and sexual function in both groups. Conclusion: Bowel function is directly correlated with sexual function and quality of life, regardless of the type of treatment.
•患有肠道子宫内膜异位症的女性可能生活质量受损，排便习惯改变。肠道子宫内膜异位症可通过药物或手术治疗。无论治疗方式如何，这些女性的肠道功能与性功能及生活质量直接相关。背景——患有肠道子宫内膜异位症的女性便秘发生率可能更高，这可能会影响她们的生活质量。目的——根据治疗方式，探讨深部子宫内膜异位症女性的肠道功能与性功能及生活质量之间的关系。方法——2020年5月至2021年4月对141例患有肠道子宫内膜异位症的女性进行横断面研究。根据治疗方式将女性分为两组：51例接受手术治疗的女性和90例接受药物治疗的女性。使用子宫内膜异位症健康状况问卷评估生活质量，使用女性性功能指数评估性功能。为评估肠道功能，我们使用了以下问卷：胃肠道生活质量指数和盆底困扰量表。结果——手术组女性的平均年龄（37.98±5.91岁）高于药物组（35.68±5.45岁）（P=0.006）。两组在疼痛症状（P=0.905）、饮水量（P=0.573）、纤维摄入量（P=0.173）和身体活动（P=0.792）方面均无统计学显著差异。两组在生活质量和性功能方面无差异。两组的肠道功能与生活质量和性功能均呈直接相关。结论：无论治疗方式如何，肠道功能与性功能及生活质量直接相关。
