压力性尿失禁女性性功能、阴道容积、阴道静息张力和盆底肌力的关系

IF 2 Q2 OBSTETRICS & GYNECOLOGY Obstetrics and Gynecology Science Pub Date : 2023-07-01 DOI:10.5468/ogs.23057
Ui-Jae Hwang, Min-Seok Lee
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引用次数: 0

摘要

目的:阴道形态和盆底肌(PFM)强度可能影响性刺激、感觉和性高潮反应。本研究旨在确定女性压力性尿失禁(SUI)患者PFM强度和阴道形态(以阴道静息张力和阴道体积为代表)与女性性功能的关系。方法:选取42例SUI患者进行研究。采用女性性功能指数(FSFI)问卷测量女性性功能。通过指诊测量PFM强度。阴道静息张力(mmHg)和阴道容积(mL)用会阴计测量。采用Pearson相关系数评估女性性功能与PFM功能及髋部肌力的相关性。如果使用Pearson相关性证实阴道形态与FSFI评分之间存在显著相关性,则通过决策树确定截断值。结果:PFM强度与欲望(r=0.397)、觉醒(r=0.388)、满意度(r=0.326)、FSFI总分(r=0.315)呈显著相关。阴道静息张力(r=-0.432)和阴道体积(r=0.332)与FSFI疼痛评分显著相关。存在疼痛性性功能障碍的阴道静息张力临界值>15.2 mmHg。结论:PFM力量训练应作为改善女性性功能的首选策略。此外,由于阴道形态与疼痛性性功能障碍之间的关系,应仔细考虑实现阴道年轻化的外科手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Relationship between female sexual function, vaginal volume, vaginal resting tone, and pelvic floor muscle strength in women with stress urinary incontinence.

Objective: Vaginal morphology and pelvic floor muscle (PFM) strength may influence sexual stimulation, sensation, and orgasmic response. This study aimed to determine the relationship between female sexual function and PFM strength and vaginal morphology (represented by vaginal resting tone and vaginal volume) in women with stress urinary incontinence (SUI).

Methods: Forty-two subjects with SUI were recruited for the study. Female sexual function was measured using the female sexual function index (FSFI) questionnaire. PFM strength was measured by digital palpation. Vaginal resting tone (mmHg) and vaginal volume (mL) were measured using a perineometer. The significance of the correlations between female sexual function and PFM function and hip muscle strength was assessed using Pearson's correlation coefficients. If a significant correlation between vaginal morphology and FSFI score was confirmed using Pearson's correlation, the cutoff value was confirmed through a decision tree.

Results: PFM strength was significantly correlated with desire (r=0.397), arousal (r=0.388), satisfaction (r=0.326), and total (r=0.315) FSFI scores. Vaginal resting tone (r=-0.432) and vaginal volume (r=0.332) were significantly correlated with the FSFI pain score. The cutoff point of vaginal resting tone for the presence of pain-related sexual dysfunction was >15.2 mmHg.

Conclusion: PFM strength training should be the first strategy to improve female sexual function. Additionally, because of the relationship between vaginal morphology and pain-related sexual dysfunction, surgical procedures to achieve vaginal rejuvenation should be carefully considered.

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来源期刊
Obstetrics and Gynecology Science
Obstetrics and Gynecology Science Medicine-Obstetrics and Gynecology
CiteScore
3.80
自引率
15.80%
发文量
58
审稿时长
16 weeks
期刊介绍: Obstetrics & Gynecology Science (NLM title: Obstet Gynecol Sci) is an international peer-review journal that published basic, translational, clinical research, and clinical practice guideline to promote women’s health and prevent obstetric and gynecologic disorders. The journal has an international editorial board and is published in English on the 15th day of every other month. Submitted manuscripts should not contain previously published material and should not be under consideration for publication elsewhere. The journal has been publishing articles since 1958. The aim of the journal is to publish original articles, reviews, case reports, short communications, letters to the editor, and video articles that have the potential to change the practices in women''s health care. The journal’s main focus is the diagnosis, treatment, prediction, and prevention of obstetric and gynecologic disorders. Because the life expectancy of Korean and Asian women is increasing, the journal''s editors are particularly interested in the health of elderly women in these population groups. The journal also publishes articles about reproductive biology, stem cell research, and artificial intelligence research for women; additionally, it provides insights into the physiology and mechanisms of obstetric and gynecologic diseases.
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