激进囊管切除术后的女性性功能:一个横截面研究
Rikke Vilsbøll Milling1,2, Anne-Dorte Seyer-Hansen1, Charlotte Graugaard-Jensen1,2
1Department of Urology, Aarhus University Hospital, Aarhus, Denmark.
European urology open science
|November 11, 2024
概括
激进囊切除术 (RC) 影响女性的性功能,导致阴道感知变化和性交期间的疼痛. 这些变化可能会影响治疗膀癌的妇女的性满意度.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性医学性医学性医学性医学
背景情况:
- 激进囊切除术 (RC) 是肌肉侵入性膀癌 (MIBC) 的标准治疗方法.
- 女性约占MIBC患者的25%.
- 妇女的RC涉及移除骨盆器官,可能会由于神经损伤影响性功能.
研究的目的:
- 调查激进囊切除术 (RC) 对女性性功能的影响.
- 为了评估接受MIBCRC的女性的性结果.
主要方法:
- 一个横截面注册表和问卷调查研究.
- 包括151名女性患者在2015-2020年期间接受RC和状管治疗.
- 使用了EORTC问卷 (QLQ-C30,SHQ-C22) 和特定的女性性功能问题.
主要成果:
- 56%的人报告说阴道尺寸感知发生了变化,51%的人经历了长时间的高潮时间,26%的人出现了异性高潮.
- 54%的人在性交期间报告疼痛,43%的人在性交后报告疼痛.
- 在疼痛和性满意度之间发现了适度的相关性 (p < 0.001).
结论:
- 在女性膀癌患者中,RC可能导致阴道感知变化和失联症.
- 这些变化可能会对性满意度产生负面影响.
- 需要进一步的研究来解决RC后的性健康问题.
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