Neuromodulation and female sexual function: does treatment for refractory voiding symptoms have an added benefit?

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-05-14 DOI:10.1007/s00192-009-0900-3

Michael S Ingber, Ibrahim A Ibrahim, Kim A Killinger, Ananias C Diokno, Kenneth M Peters

{"title":"Neuromodulation and female sexual function: does treatment for refractory voiding symptoms have an added benefit?","authors":"Michael S Ingber, Ibrahim A Ibrahim, Kim A Killinger, Ananias C Diokno, Kenneth M Peters","doi":"10.1007/s00192-009-0900-3","DOIUrl":null,"url":null,"abstract":"Introduction and hypothesis: Women undergoing InterStim implantation for overactive bladder (OAB) or painful bladder syndrome (PBS) were prospectively evaluated to determine if neuromodulation has any effect on female sexual function (FSF).Methods: Sexually active women in our InterStim database completed a female sexual function index (FSFI) preoperatively and at 6 months.Results: Of 105 women, 54 have 6-month follow-up data. Of these, 27 were sexually active preoperatively and at follow-up. The mean (standard deviation (SD)) FSFI improved from 18.7 (6.8) preoperatively to 21.0 (6.0) postoperatively; however, this was not statistically significant (p = 0.220). Subgroup analysis of patients with OAB revealed that mean (SD) FSFI preoperatively was 18.6 (8.0) and 22.4 (6.4) at 6 months (p = 0.257). In the PBS group, mean (SD) FSFI was 18.8 (6.3) preoperatively and 18.7 (5.8) at 6 months (p = 0.98).Conclusions: Neuromodulation does not significantly improve FSF in a heterogenous population. Additional studies are needed to confirm the findings in our study.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 9","pages":"1055-9"},"PeriodicalIF":0.0000,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0900-3","citationCount":"17","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International urogynecology journal and pelvic floor dysfunction","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00192-009-0900-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2009/5/14 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 17

Abstract

Introduction and hypothesis: Women undergoing InterStim implantation for overactive bladder (OAB) or painful bladder syndrome (PBS) were prospectively evaluated to determine if neuromodulation has any effect on female sexual function (FSF).

Methods: Sexually active women in our InterStim database completed a female sexual function index (FSFI) preoperatively and at 6 months.

Results: Of 105 women, 54 have 6-month follow-up data. Of these, 27 were sexually active preoperatively and at follow-up. The mean (standard deviation (SD)) FSFI improved from 18.7 (6.8) preoperatively to 21.0 (6.0) postoperatively; however, this was not statistically significant (p = 0.220). Subgroup analysis of patients with OAB revealed that mean (SD) FSFI preoperatively was 18.6 (8.0) and 22.4 (6.4) at 6 months (p = 0.257). In the PBS group, mean (SD) FSFI was 18.8 (6.3) preoperatively and 18.7 (5.8) at 6 months (p = 0.98).

Conclusions: Neuromodulation does not significantly improve FSF in a heterogenous population. Additional studies are needed to confirm the findings in our study.

查看原文本刊更多论文

神经调节和女性性功能:难治性排尿症状的治疗是否有额外的益处?

介绍和假设:前瞻性评估因膀胱过动症(OAB)或膀胱疼痛综合征(PBS)接受InterStim植入术的女性，以确定神经调节是否对女性性功能(FSF)有任何影响。方法:在我们的InterStim数据库中，性活跃的女性在术前和6个月时完成了女性性功能指数(FSFI)。结果:105例女性中，54例有6个月的随访数据。其中，27人术前和随访时性生活活跃。平均(标准差(SD)) FSFI从术前的18.7(6.8)改善到术后的21.0 (6.0);然而，这没有统计学意义(p = 0.220)。OAB患者亚组分析显示，术前平均(SD) FSFI为18.6(8.0)，6个月时平均(SD) FSFI为22.4 (6.4)(p = 0.257)。PBS组术前平均(SD) FSFI为18.8(6.3)，6个月时平均(SD) FSFI为18.7 (5.8)(p = 0.98)。结论:神经调节不能显著改善异质人群的FSF。需要进一步的研究来证实我们的研究结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International urogynecology journal and pelvic floor dysfunction

自引率

0.00%

发文量