Sexual function in women with pelvic organ prolapse.

IF 0.5 Q4 OBSTETRICS & GYNECOLOGY
Samuel Tvarožek, Martina Szypulová, Anežka Šteflová, Martin Huser, Zdeněk Rušavý
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引用次数: 0

Abstract

A woman's sexuality is a complex phenomenon involving several factors, among which age and health are the most important. However, other aspects are not negligible. The impact of pelvic organ prolapse on sexual function cannot be ignored, as the reported prevalence of pelvic organ prolapse in female population exceeds 50%. This article presents a systematic review of articles dealing with the impact of pelvic organ prolapse on female sexual function. Sexual dysfunction is common in women with pelvic organ prolapse, regardless of prolapse stage or the compartment affected. Estrogen therapy has no effect on sexuality in women with prolapse, while pelvic floor muscle training may provide some improvement. There is no evidence that conservative therapy using a pessary is associated with negative impact on sexual function. Native tissue repair tends to improve sexual function in general, except for posterior colporrhaphy, which was frequently associated with dyspareunia. No correlation between postoperative vaginal length and change in sexual function was identified. The impact of transvaginal mesh repair on sexuality remains unclear. In contrast, there is enough evidence proving that sacrocolpopexy significantly improves sexual function in women.

盆腔器官脱垂妇女的性功能。
女性的性行为是一个复杂的现象,涉及多个因素,其中年龄和健康是最重要的。然而,其他方面也不容忽视。盆腔器官脱垂对性功能的影响不容忽视,据报道盆腔器官脱垂在女性人群中的患病率超过50%。本文系统回顾了有关盆腔器官脱垂对女性性功能影响的文章。性功能障碍是常见的妇女盆腔器官脱垂,无论脱垂阶段或隔室的影响。雌激素治疗对脱垂女性的性行为没有影响,而盆底肌肉训练可能会有所改善。没有证据表明使用子宫托的保守治疗与性功能的负面影响有关。一般来说,自体组织修复倾向于改善性功能,但后阴道破裂除外,后者通常与性交困难有关。术后阴道长度与性功能变化无相关性。经阴道补片修复对性行为的影响尚不清楚。相反,有足够的证据证明骶髋固定术能显著改善女性的性功能。
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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来源期刊
Ceska Gynekologie-Czech Gynaecology
Ceska Gynekologie-Czech Gynaecology OBSTETRICS & GYNECOLOGY-
CiteScore
0.60
自引率
25.00%
发文量
57
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