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首页> 外文期刊>Journal of women’s health >Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling
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Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling

机译：压力性尿失禁治疗妇女的性功能和生活质量评估：无张力经闭孔尿道下带对单切口吊带

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Objective: The aim of this study is to investigate the change in quality of life (QoL) and sexual function in women treated for pure stress urinary incontinence (SUI) using tension-free transobturator suburethral tape (TVT-O) and single-incision sling (SIS) procedures. Materials and Methods: From December 2013 to January 2015, a total of 48 female patients with pure SUI and normotonic urethra were consecutively enrolled and randomized into two treatment groups: TVT-O versus SIS. Both groups were homogeneous in the preoperative evaluation of age, body mass index, comorbidities, and pregnancies. Exclusion criteria included urge urinary incontinence, neurogenic bladder, previous surgery for incontinence, and mental or neurological disorders. The female sexual function and QoL were assessed preoperatively and postoperatively (3-12 months follow-up), using the Female Sexual Function Index (FSFI) and the International Consultation on Incontinence Questionnaire. Results: A total of 42 patients completed both the questionnaires (21 patients in the TVT-O group and 21 patients in the SIS group, whereas 6 patients were lost to follow-up). Of the 19/21 (90.4%) of patients who successfully underwent the SIS procedure, 17 (80.9%) reported a complete resolution of SUI, whereas 2 (9.5%) reported an improvement in urinary incontinence at follow-up. In the TVT-O group, 18/21 (85.7%) of patients reported complete recovery, whereas 4.1% patients reported an improvement in the incontinence. The FSFI score increased significantly in both the SIS groups (from 23:513.78 to 27.42 +/- 3.34; p<0.001) and TVT-O group (from 23.96 +/- 5:56 to 28.09 +/- 3.62) with no statistically significant differences between the two treatment groups. Conclusion: In our study, both slings showed a high rate of continence without any major complications. The sexual function also improved sharply in all the six FSFI domains, with no statistically significant difference between the two treatment groups.
机译：目的：本研究旨在探讨采用无张力经闭孔尿道下带（TVT-O）和单切口吊带治疗纯应力性尿失禁（SUI）的女性的生活质量（QoL）和性功能的变化（SIS）程序。材料与方法：从2013年12月至2015年1月，共入选48例纯SUI和降尿素尿道尿道的女性患者，并将其随机分为两个治疗组：TVT-O与SIS。两组在术前评估年龄，体重指数，合并症和妊娠方面均一致。排除标准包括急迫性尿失禁，神经原性膀胱，先前的失禁手术以及精神或神经疾病。使用女性性功能指数（FSFI）和国际失禁问卷调查，对女性的性功能和生活质量进行了术前和术后评估（随访3-12个月）。结果：共有42例患者完成了两个问卷（TVT-O组中的21例患者和SIS组中的21例患者，而6例患者没有随访）。在成功接受SIS手术的19/21（90.4％）患者中，有17名（80.9％）报告了SUI完全缓解，而2名（9.5％）报告了随访时尿失禁有所改善。在TVT-O组中，有18/21（85.7％）的患者报告完全康复，而有4.1％的患者报告了尿失禁有所改善。 SIS组（从23：513.78增至27.42 +/- 3.34; p <0.001）和TVT-O组（从23.96 +/- 5:56增至28.09 +/- 3.62）的FSFI评分均显着增加，无统计学意义两个治疗组之间的显着差异。结论：在我们的研究中，两个吊带都显示出高尿失禁率，没有任何重大并发症。在所有六个FSFI域中，性功能也都得到了显着改善，两个治疗组之间的统计学差异无统计学意义。

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