在中泌尿器吊链手术后,女性的性功能和不适
Marie Bugnon1, Cécilia Ricard2, Renaud Detayrac3
1Department of Gynecology and Obstetrics, University Hospital of Grenoble, CHU Grenoble Alpes, Quai Yermoloff, 38700, La Tronche, France. mar.bugnon@gmail.com.
International urogynecology journal
|October 10, 2024
概括
为应激性尿失禁而进行的中泌尿器吊带手术不会对中期性功能产生负面影响. 患者在手术后没有报告性健康或不适的显著变化.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 女性的性健康女性的性健康
- 外科手术的结果
背景情况:
- 压力尿失禁 (SUI) 是一种常见的疾病,影响女性的生活质量.
- 中尿道吊带 (MUS) 程序是SUI的常见手术治疗方法.
- 了解MUS对性功能的影响对于患者咨询和治疗决策至关重要.
研究的目的:
- 为了评估中期性功能和在中尿道吊带 (MUS) 手术后的不适.
- 为了将接受MUS手术的女性的性功能与对照组进行比较.
主要方法:
- 进行了一项双向观测研究,采用嵌套匹配的病例控制设计.
- 性功能和不适被评估使用骨盆周围外科手术性质问卷 (PPSSQ) 在手术前和后.
- 病例 (MUS患者) 根据年龄和更年期状态与对照 (没有MUS病史的志愿者) 匹配1:1.
主要成果:
- 在MUS患者和对照人群之间没有观察到平均不适,疼痛或性健康得分的统计学上显著差异.
- 与对照组相比,MUS患者 (16%) 报告的阴道阻塞感觉率显著更高 (2.6%).
- 随访时患者报告的性功能与他们的手术前回忆相比没有显著差异.
结论:
- 中尿道吊带手术似乎不会影响中期性生活质量.
- 虽然阻塞感可能会增加,但整体性功能和舒适性通常保持在MUS后.
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