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在女性进行激进囊管切除术后评估性功能和阴道脱落:一项研究探讨了一个被低估的问题
Maren Juliane Wenk1, N Westhoff2, B Liedl3
1Department of Urology and Urological Surgery, University Medical Center Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany. maren.wenk@umm.de.
International urogynecology journal
|August 15, 2023
概括
妇女的激进囊切除术 (RC) 并没有显著影响性功能或生活质量 (QoL). 阴道节约方法在RC后显示了性健康结果的微小差异.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 在瘤学瘤学.
背景情况:
- 激进囊切除术 (RC) 是一种治疗膀癌的方法.
- 对女性患者来说,评估RC后的性功能,脱落和生活质量 (QoL) 是至关重要的.
研究的目的:
- 为了评估性功能,阴道脱落和女性后RC的QoL.
- 使用经过验证的问卷和骨盆器官脱落量化 (POP-Q) 测量.
主要方法:
- 包括接受RC的女性膀癌患者.
- 进行了国际咨询关于失禁问卷阴道症状 (ICIQ-VS),盆腔器官缩/尿失禁性质问卷IUGA修订 (PISQ) 和EORTC QoL问卷.
- 对同意的患者进行了POP-Q测量.
主要成果:
- 96名患者接受了问卷;35人被纳入分析,其中17人接受了POP-Q.
- 报告的阴道症状率较低;34.3%的患者性活跃.
- 没有顶部;前后的最高阶段是2级.
- 大陆和失禁尿路转移之间在POP阶段,性功能或QoL方面没有显著差异.
- 阴道节约方法在两个PISQ子尺度中显示了微小的显著差异.
结论:
- 尿路转移类型,POP-Q阶段和瘤阶段没有显著影响性功能,QoL或RC后的缩投诉.
- 节约阴道的方法在改善性功能结果方面表现出有限的临床相关性.
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