The impact of stress incontinence surgery on female sexual function

被引：43

作者：

Brubaker, Linda ^{[1
,2
]}

Chiang, Seine ^{[3
]}

Zyczynski, Halina ^{[4
]}

Norton, Peggy ^{[5
]}

Kalinoski, Lynn ^{[6
]}

Stoddard, Anne ^{[7
]}

Kusek, John W. ^{[8
]}

Steers, William ^{[9
]}

机构：

[1] Loyola Univ Chicago, Dept Obstet & Gynecol, Maywood, IL USA

[2] Loyola Univ Chicago, Dept Urol, Maywood, IL USA

[3] Univ Washington, Dept Obstet & Gynecol, Seattle, WA 98195 USA

[4] Univ Pittsburgh, Div Urogynecol & Pelv Reconstruct Surg, Pittsburgh, PA USA

[5] Univ Utah, Dept Urol, Salt Lake City, UT USA

[6] Univ Calif San Diego, Div Urol, San Diego, CA 92103 USA

[7] New England Res Inst, Watertown, MA 02172 USA

[8] NIDDK, NIH, Bethesda, MD USA

[9] Univ Virginia, Dept Urol, Charlottesville, VA USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2009年 / 200卷 / 05期

关键词：

Burch; Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire; sexual function; sling; stress incontinence surgery; PELVIC ORGAN PROLAPSE; URINARY-INCONTINENCE; WOMEN; QUESTIONNAIRE; LIFE;

D O I：

10.1016/j.ajog.2008.11.017

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: We sought to describe change in sexual function 2 years after surgery to treat stress urinary incontinence. STUDY DESIGN: This analysis included 655 women randomized to Burch colposuspension or sling surgery. Sexual activity was assessed by the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) among those sexually active at baseline and 2 years after surgery. RESULTS: Mean PISQ-12 total score improved from baseline 32.23 +/- 6.85 to 36.85 +/- 5.89. After surgery, fewer subjects reported incontinence (9% vs 53%; P < .0001), restriction of sexual activity as a result of fear of incontinence (10% vs 52%; P < .0001), avoidance of intercourse because of vaginal bulging (3% vs 24%; P < .0001), or negative emotional reactions during sex (9% vs 35%; P < .0001). Women with successful surgery had greater improvement PISQ-12 scores (5.77 vs 3.79; P < .006). Sexually active women were younger, thinner, and had lower Medical, Epidemiological, and Social Aspects of Aging scores ( total and urge subscale) than sexually inactive women. CONCLUSION: Sexual function improves after successful surgery and does not differ between Burch and sling.

引用

页码：562.e1 / 562.e7

页数：7