Bjerre B D, Johansen C, Steven K
Department of Social Medicine, Herlev Hospital, University of Copenhagen, Denmark.
Scand J Urol Nephrol. 1997 Apr;31(2):155-60. doi: 10.3109/00365599709070322.
A questionnaire study was conducted to evaluate the sexological problems after urinary diversion, using the continent Kock reservoir or the ileal conduit diversion. Thirty-seven female patients completed the questionnaire: 17 patients had a continent and 20 an ileal conduit diversion, with a median follow-up of 0.8 year (range 0.5-4.4) and 4.6 years (range 2.8-12.0), respectively. Data from only 33 patients were eligible for analysis, but no significant between-group differences were found. Coital frequency remained unchanged or increased among 44% of patients with a continent reservoir and among 18% of ileal conduit patients (p = 0.11). Among those reporting other than unchanged/increased activity almost one-third gave physical problems or decreased desire as the reason, and 30% felt less sexually attractive, with cystectomized patients reporting a higher percentage than others. A higher frequency of dyspareunia among patients with a continent reservoir was an unexpected finding (p = 0.06), and merits further investigation in a larger sample. Here it may be due to the shorter follow-up of these patients. Thirty per cent of all patients would have like more sexological counselling.
开展了一项问卷调查研究，以评估采用可控性Kock贮尿囊或回肠膀胱术进行尿流改道后的性学问题。37名女性患者完成了问卷调查：17名患者采用可控性贮尿囊，20名患者采用回肠膀胱术，中位随访时间分别为0.8年（范围0.5 - 4.4年）和4.6年（范围2.8 - 12.0年）。只有33名患者的数据符合分析条件，但未发现组间有显著差异。44%采用可控性贮尿囊的患者以及18%采用回肠膀胱术的患者性交频率保持不变或增加（p = 0.11）。在那些报告性交活动未改变/增加的患者中，近三分之一将身体问题或性欲下降作为原因，30%的患者感觉自己的性吸引力下降，膀胱切除患者报告的比例高于其他患者。可控性贮尿囊患者性交困难的发生率较高是一个意外发现（p = 0.06），值得在更大样本中进一步研究。这可能是由于这些患者的随访时间较短。30%的患者希望获得更多性学咨询。
