• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The journal of sexual medicine >The Effect of Prolapse Repair on Sexual Function in Women
【24h】

The Effect of Prolapse Repair on Sexual Function in Women

机译：脱垂修复对女性性功能的影响

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction. Sexual dysfunction is common in women with pelvic organ prolapse (POP). Treatment of symptomatic prolapse often requires surgery. The outcome of prolapse symptoms following surgery is well studied and reported, but evidence on outcomes of sexual function following pelvic reconstructive surgeries is limited. Aim. The objective of this study was to assess the impact of different forms of surgery for POP on sexual function using prospectively collected data. Methods. In this ethically approved project, data were collected prospectively for women undergoing prolapse repair between 2008 and 2010 and were stratified into four groups: "posterior repair,""anterior repair,""anterior repair with vaginal hysterectomy," and "combined anterior and posterior repair." The electronic personal assessment questionnaire-pelvic floor (ePAQ-PF) was used to assess symptoms. The sexual dimension of ePAQ-PF computes domain scores for sexual dysfunction secondary to vaginal symptoms and dyspareunia on a scale of 0-100 (0=best possible and 100=worst possible health status). ePAQ-PF was completed in 123 sexually active women both pre- and 3-6 month postoperatively. Results were analyzed using SPSS (SPSS Inc., Chicago, IL, USA). Pre- and postoperative scores for each domain were compared in all groups (Student's t-test). Individual symptoms in these domains were compared using Wilcoxon signed-rank test. Main Outcome Measures. Change in sexual symptoms and dyspareunia following prolapse surgery in each group. Results. Women undergoing anterior repair or anterior repair and vaginal hysterectomy reported significant improvement in sexual symptoms and dyspareunia. Women undergoing a posterior repair in isolation had improved sexual function following surgery though improvement in dyspareunia was not significant. Women undergoing combined anterior and posterior repair had the least improvement in sexual function. Conclusions. Sexual function improves in women following pelvic reconstructive surgery, but the improvement is more substantial following anterior repair either alone or in combination with a vaginal hysterectomy when compared with posterior repair.
机译：介绍。性功能障碍在盆腔器官脱垂（POP）的女性中很常见。症状性脱垂的治疗通常需要手术。手术后脱垂症状的结果已得到很好的研究和报道，但盆腔重建手术后性功能的结果证据有限。目标。这项研究的目的是使用前瞻性收集的数据评估不同形式的POP手术对性功能的影响。方法。在此获得伦理学批准的项目中，前瞻性收集了2008年至2010年间接受脱垂修复的妇女的数据，并将其分为四类：“后路修复”，“前路修复”，“阴道子宫切除术前路修复”和“前路和后路联合手术”修理。”电子个人评估问卷-骨盆底（ePAQ-PF）用于评估症状。 ePAQ-PF的性维度以0-100的比例计算继发于阴道症状和性交困难的性功能障碍的领域评分（0 =可能的最佳状况和100 =可能的最差健康状况）。术前和术后3-6个月对123名性活跃女性完成了ePAQ-PF。使用SPSS（SPSS Inc.，美国伊利诺伊州芝加哥）分析结果。在所有组中比较每个领域的术前和术后得分（Student's t检验）。使用Wilcoxon符号秩检验比较这些区域中的个体症状。主要观察指标。每组脱垂手术后性症状和性交困难的变化。结果。接受前路修复或前路修复和阴道子宫切除术的妇女报告称其性症状和性交困难明显改善。尽管痛经改善不明显，但单独进行后路修复的妇女性功能改善。接受前路和后路联合修复的女性性功能改善最少。结论。骨盆重建手术后女性的性功能得到改善，但与后路修复相比，单独或与阴道子宫切除术联合进行前路修复后，性功能改善更为明显。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号