Nergis Kender Erturk, Fatma Nurgul Tasgoz, Muzaffer Temur
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引用次数: 0
摘要
目的:比较压力性尿失禁(SUI)患者行经通气带(TOT)手术与大陆对照组患者的性功能影响。方法对70例女性患者进行术前6月和术后24月的泌尿功能和性功能评估。45例无尿失禁且人口统计学上与研究组相匹配的患者在第一次给药时和对照组24个月后进行了性功能评估。采用女性性功能指数(FSFI)。结果SUI患者的基线FSFI总评分(23.4±3.2 vs 27.0±4.3,P < 0.001)显著降低。研究组患者性功能评分在2年内有轻微升高(24.0±3.0,P = 0.167)，而对照组患者FSFI总分在2年内有明显下降(25.0±4.5,P < 0.001)。失禁手术的成功与较高的长期性功能评分相关。结论成功的TOT手术可改善SUI患者的性功能。与健康对照组相比，这种改善随着时间的推移而减少的较少。
Effects of transobturator tape procedure on female sexual function at 2-year follow-up: A prospective cohort study with matched control group
Objectives
We aimed to compare the effect of elapsed time on sexual function in women who underwent a transobturator tape (TOT) procedure for stress urinary incontinence (SUI) with continent controls.
Methods
Urinary and sexual function of 70 females were assessed preoperatively at month 6 and postoperatively at month 24 in the study group. Forty-five patients without urinary incontinence and demographically matched with the study group were assessed for sexual function at first administration and 24 months later in the control group. The Female Sexual Function Index (FSFI) was used.
Results
The baseline total FSFI score (23.4 ± 3.2 vs 27.0 ± 4.3, P < .001) was significantly lower in patients with SUI. There was a slight increase (24.0 ± 3.0, P = .167) in sexual function at the end of 2 years in the study group, whereas in the control group, the total FSFI score (25.0 ± 4.5, P < .001) decreased significantly within 2 years. The success of the incontinence surgery was associated with higher long-term sexual function scores.
Conclusions
Successful TOT surgery can improve sexual function in women with SUI. This improvement decreases less over time compared to healthy controls.
期刊介绍：
LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided.
LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.
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