Li Yuan, Shen Jihong, Li Ling, Tian Daoming, Wen Yubin, Li Hongcheng, Gu Jiangna, Luo Qian, Gao Zhenhua, Wang Xingqi
Department of Urology, The First Affiliated Hospital, Kunming Medical University, Kunming, China.
Front Surg. 2025 Aug 7;12:1643253. doi: 10.3389/fsurg.2025.1643253. eCollection 2025.
To assess the impact of total urethral suspension with posterior pelvic floor reconstruction on sexual function in women with stress urinary incontinence(SUI) and concomitant vaginal laxity syndrome (VLS), including partner satisfaction.
Clinical data from 150 pelvic floor dysfunction patients were collected at the First Affiliated Hospital of Kunming Medical University (March 2023-March 2024). Preoperative assessments included demographics, obstetric/surgical history, menopausal status, sexual activity and . Seventy-five sexually active patients completed the Pelvic Organ Prolapse/Urinary Incontinent Sexual Function Questionnaire Short Form (PISQ-12), with partner satisfaction and vaginal tightness evaluations. At the 1-year postoperative follow-up, patients underwent outpatient clinical evaluations, including the PISQ-12 questionnaire, assessments of vaginal tightness and partner satisfaction, and pelvic floor ultrasound measurements.
The subjective cure rate for urinary incontinence was 86.67% with a 10.67% improvement rate. Significant improvements were observed in PISQ-12 scores (preoperative: 17.56 ± 5.56 vs. postoperative: 11.72 ± 4.23; < 0.01). Partners reported increased overall satisfaction (3.21 ± 0.92-3.81 ± 1.06; < 0.01) and enhanced perception of vaginal tightness (2.47 ± 0.58-4.17 ± 0.62; < 0.01).
The combined surgical procedure demonstrates significant therapeutic efficacy in managing SUI and concomitant VLS, with postoperative outcomes showing substantial improvements in both urinary continence and sexual function. Total urethral suspension provides comprehensive to treat SUI. Posterior pelvic floor reconstruction restores anatomical integrity by reducing the levator hiatus and reconstructing the perineal body, thereby normalizing vaginal axis alignment. The subsequent vaginal tightening achieved through these procedures significantly enhances sexual function for both patients and their partners.
评估全尿道悬吊联合盆底后份重建术对压力性尿失禁（SUI）合并阴道松弛综合征（VLS）女性性功能的影响，包括性伴侣满意度。
收集昆明医科大学第一附属医院150例盆底功能障碍患者的临床资料（2023年3月至2024年3月）。术前评估包括人口统计学资料、产科/手术史、绝经状态、性活动情况等。75例有性活动的患者完成了盆底器官脱垂/尿失禁性功能问卷简表（PISQ-12），并进行了性伴侣满意度和阴道紧密度评估。术后1年随访时，患者接受门诊临床评估，包括PISQ-12问卷、阴道紧密度和性伴侣满意度评估以及盆底超声测量。
尿失禁主观治愈率为86.67%，改善率为10.67%。PISQ-12评分有显著改善（术前：17.56±5.56 vs.术后：11.72±4.23；P<0.01）。性伴侣报告总体满意度增加（3.21±0.92 - 3.81±1.06；P<0.01），对阴道紧密度的感知增强（2.47±0.58 - 4.17±0.62；P<0.01）。
联合手术在治疗SUI合并VLS方面显示出显著的治疗效果，术后尿失禁和性功能均有实质性改善。全尿道悬吊为治疗SUI提供了全面的方法。盆底后份重建通过缩小提肌裂孔和重建会阴体来恢复解剖完整性，并使阴道轴恢复正常。通过这些手术实现的后续阴道紧缩显著提高了患者及其性伴侣的性功能。
