• 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 >Female Sexual Dysfunction After Pelvic Fracture: A Comprehensive Review of the Literature
【24h】

Female Sexual Dysfunction After Pelvic Fracture: A Comprehensive Review of the Literature

机译：骨盆骨折后的女性性功能障碍：对文学的全面审查

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

Background: Female sexual dysfunction (FSD) after pelvic fracture (PFx) has garnered little attention in the urology literature. Aim: To review and summarize the current evidence regarding female PFx-related sexual function. Methods: We performed a systematic review in accordance with PRISMA guidelines, including PubMed, EMBASE, and MEDLINE. We included only English-language manuscripts and abstracts with sufficient data for inclusion. We used the search terms "female sexual dysfunction AND pelvic fracture," "sexual dysfunction AND pelvic fracture," and "female pelvic fracture AND sexual dysfunction." A total of 177 articles were identified; 41 abstracts were reviewed; of which, 19 manuscripts were reviewed. Fifteen met inclusion criteria for analysis. Outcomes: The main outcome measures of this study are rates and types of female sexual dysfunction after pelvic fracture. Results: FSD is prevalent after PFx, with reported rates between 25% and 62%. Three studies used the validated Female Sexual Function Index. The other 12 used non-validated questionnaires or adapted quality-of-life questionnaires with specific questions regarding FSD. The most common complaints include difficulty with intercourse, dyspareunia, orgasmic dysfunction, genitourinary pain, decreased interest in intercourse, decreased satisfaction with intercourse, and pelvic floor dysfunction. Only 1 study addressed resolution of dysfunction (30 of 98 patients [30.4%]). Clinical Implications: FSD is prevalent and an under-recognized sequela of pelvic fracture. This requires future prospective study to better characterize sexual dysfunction and identify effective treatments in trauma survivors. Strength and Limitations: To Increase awareness of FSD after pelvic trauma and the impact on the quality of life in trauma survivors. The current literature is limited by a lack of standardized assessment of FSD, limited follow-up, and minimal discussion of treatment options, in addition to the inherent bias of retrospective studies. Conclusions: FSD after traumatic PFx is not uncommon, occurs mostly in young women, and can be morbid. FSD after PFx is underreported in the urology literature. Thus, all female PFx patients should be screened for FSD by validated questionnaires. The published literature offers little knowledge as to the epidemiology, evaluation, definition, and potential treatments of FSD after PFx. Prospective studies are needed to better understand female sexual function in trauma survivors and the potential methods for prevention and rehabilitation, all within the context of a multidisciplinary approach. Walton AB, Leinwand GZ, Raheem O, et al. Female Sexual Dysfunction After Pelvic Fracture: A Comprehensive Review of the Literature. J Sex Med 2021;18:467e473. Published by Elsevier Inc. on behalf of the International Society for Sexual Medicine.
机译：背景：骨盆骨折（PFx）后女性性功能障碍（FSD）在泌尿学文献中很少引起关注。目的：回顾和总结目前有关女性PFx相关性功能的证据。方法：我们根据PRISMA指南，包括PubMed、EMBASE和MEDLINE，进行了系统回顾。我们只收录了英文手稿和摘要，其中包含了足够的数据。我们使用了搜索词“女性性功能障碍和骨盆骨折”、“性功能障碍和骨盆骨折”以及“女性骨盆骨折和性功能障碍”共鉴定出177篇文章；对41篇摘要进行了综述；其中审稿19篇。15人符合分析的纳入标准。结果：本研究的主要结果指标是骨盆骨折后女性性功能障碍的发生率和类型。结果：PFx后FSD普遍存在，报告率在25%至62%之间。三项研究使用了经验证的女性性功能指数。另外12人使用未经验证的问卷或经过调整的生活质量问卷，其中包含有关FSD的具体问题。最常见的症状包括性交困难、性交困难、性高潮功能障碍、泌尿生殖系统疼痛、性交兴趣下降、性交满意度下降以及盆底功能障碍。只有1项研究解决了功能障碍（98名患者中有30名[30.4%]）。临床意义：FSD很普遍，是骨盆骨折的后遗症。这需要未来的前瞻性研究来更好地描述性功能障碍，并确定创伤幸存者的有效治疗方法。优势和局限性：提高对骨盆创伤后FSD的认识，以及对创伤幸存者生活质量的影响。除了回顾性研究固有的偏见外，目前的文献还受到以下方面的限制：缺乏对FSD的标准化评估、有限的随访和对治疗方案的最少讨论。结论：外伤性PFx后的FSD并不少见，主要发生在年轻女性，可能是病态的。PFx后的FSD在泌尿学文献中被低估。因此，所有女性PFx患者都应该通过有效问卷进行FSD筛查。关于PFx后FSD的流行病学、评估、定义和潜在治疗，已发表的文献提供的知识很少。需要进行前瞻性研究，以便更好地了解创伤幸存者的女性性功能，以及预防和康复的潜在方法，所有这些都需要在多学科方法的背景下进行。Walton AB，Leinwand GZ，Raheem O，等。骨盆骨折后女性性功能障碍：文献综述。J性别MD 2021；18:467e473。由爱思唯尔公司代表国际性医学会出版。

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