Virtanen H, Mäkinen J, Tenho T, Kiilholma P, Pitkänen Y, Hirvonen T
Department of Obstetrics and Gynaecology, Turku University Central Hospital, Finland.
Br J Urol. 1993 Dec;72(6):868-72. doi: 10.1111/j.1464-410x.1993.tb16288.x.
A prospective study of 102 women undergoing abdominal hysterectomy for benign conditions was performed in order to evaluate pre- and post-operative urinary and sexual symptoms. The mean age of the patients was 44.9 years (range 30-65). Urinary disorders such as urgency, dysuria, frequency, nocturia, slow bladder emptying, sensation of residual urine as well as stress and urge incontinence were observed pre-operatively and 2, 6 and 12 months post-operatively. Dyspareunia, libido and the number of orgasms were evaluated as disorders affecting sexual life. At follow-up 12 months post-operatively a statistically significant decrease in stress incontinence, frequency and nocturia was observed. Dyspareunia was also significantly less frequent and increased libido was experienced. It was concluded that abdominal hysterectomy does not provoke adverse urinary or sexual symptoms and that it can have beneficial effects.
对102例因良性疾病接受腹部子宫切除术的女性进行了一项前瞻性研究，以评估术前和术后的泌尿及性症状。患者的平均年龄为44.9岁（范围30 - 65岁）。术前以及术后2个月、6个月和12个月观察了尿急、尿痛、尿频、夜尿、膀胱排空缓慢、残余尿感以及压力性和急迫性尿失禁等泌尿系统疾病。性交困难、性欲和性高潮次数被评估为影响性生活的疾病。术后12个月随访时，观察到压力性尿失禁、尿频和夜尿有统计学意义的下降。性交困难也明显减少，性欲增强。得出的结论是，腹部子宫切除术不会引发不良的泌尿或性症状，并且可能具有有益效果。
