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首页> 外文期刊>Surgical Endoscopy >Sexual function after sacrospinous fixation for vaginal vault prolapse: bad or mad?
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Sexual function after sacrospinous fixation for vaginal vault prolapse: bad or mad?

机译:sa棘固定后阴道穹ault脱垂的性功能:不良还是疯狂?

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BACKGROUND: The main indication for sacrospinous ligament suspension is to correct either total procidentia, a posthysterectomy vaginal vault prolapse with an associated weak cardinal uterosacral ligament complex, or a posthysterectomy enterocele. This study aimed to evaluate sexual function and anatomic outcome for patients after sacrospinous ligament suspension. METHODS: For this study, 52 patients who had undergone sacrospinous ligament fixation during the preceding 5 years were asked to complete the Female Sexual Function Index (FSFI) questionnaire. The patients were vaginally examined using the ICS POP score, and the results were compared with their preoperative status. For statistical analysis, GraphPad for Windows, version 4.0, was used. RESULTS: The 52 patients were examined during a follow-up period of 38 months. No major intraoperative complications were noted. Recurrence of symptomatic apical descent was noted in 6% of the patients and de novo prolapse in 13.5%. Only one patient was symptomatic. Three patients experienced de novo dyspareunia, which resolved in two cases after stitch removal. Sexual function was good, rating higher than three points for each of the domains including satisfaction, lubrication, desire, orgasm, and pain. CONCLUSION: Sacrospinous ligament fixation still is a valuable option for the treatment of vaginal vault prolapse. Sexual function is satisfactory, with few cases of de novo dyspareunia.
机译:背景:sa棘韧带悬吊术的主要指征是纠正全过程,子宫切除术后阴道穹v脱出伴有相关的弱主胎子宫ac韧带复合体或子宫切除术后肠膨出。本研究旨在评估sa棘韧带悬吊术后患者的性功能和解剖结局。方法:对于该研究,要求52例在前5年内接受了cro棘韧带固定术的患者填写女性性功能指数(FSFI)问卷。使用ICS POP评分对患者进行阴道检查,并将结果与​​术前状态进行比较。为了进行统计分析,使用了适用于Windows的GraphPad 4.0版。结果:52例患者接受了38个月的随访。术中未发现严重并发症。 6%的患者出现症状性根尖下降的复发,而13.5%的患者从头开始脱垂。仅一名患者有症状。 3名患者发生了新发性肌痛,在拆线后的2例患者中消失。性功能良好,对每个领域的满意度均高于三分,包括满意度,润滑,性欲,性高潮和疼痛。结论:s棘韧带固定术仍然是治疗阴道穹pro脱垂的有价值的选择。性功能令人满意,很少发生新发性交往困难。

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