经阴道无张力尿道中段吊带术对压力性尿失禁患者性生活质量的影响

目的研究经阴道无张力尿道中段吊带(TVT)术对压力性尿失禁(SUI)患者性生活质量的影响及相关因素。方法 94例接受过TVT术的SUI患者于术后6个月~3年接受随访,采用盆腔器官脱垂-尿失禁患者性功能问卷(PISQ)对患者进行评分(包括生理因素、情感因素和性伴侣因素);PISQ评分越高,提示性生活质量越高。共回收问卷86份,回收率为91.5%。结果 86例患者手术前后PISQ总评分比较差异无统计学意义(P〉0.05);但术后情感因素评分较术前降低,生理因素评分较术前升高,差异均有统计学意义(P〈0.05)。62例术后1年以内患者中,术后PISQ总评分、情感因素和性伴侣因素评分均显著低于术前(P...

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Published in上海交通大学学报(医学版) Vol. 32; no. 4; pp. 423 - 426
Main Author 宋海波 陈慧兴 冷静 吕坚伟 薄隽杰 刘东明
Format Journal Article
LanguageChinese
Published 上海交通大学医学院附属仁济医院泌尿外科上海交通大学尿失禁及盆底重建诊治中心,上海,200001 2012
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ISSN1674-8115
DOI10.3969/j.issn.1674-8115.2012.04.012

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Summary:目的研究经阴道无张力尿道中段吊带(TVT)术对压力性尿失禁(SUI)患者性生活质量的影响及相关因素。方法 94例接受过TVT术的SUI患者于术后6个月~3年接受随访,采用盆腔器官脱垂-尿失禁患者性功能问卷(PISQ)对患者进行评分(包括生理因素、情感因素和性伴侣因素);PISQ评分越高,提示性生活质量越高。共回收问卷86份,回收率为91.5%。结果 86例患者手术前后PISQ总评分比较差异无统计学意义(P〉0.05);但术后情感因素评分较术前降低,生理因素评分较术前升高,差异均有统计学意义(P〈0.05)。62例术后1年以内患者中,术后PISQ总评分、情感因素和性伴侣因素评分均显著低于术前(P〈0.05),但手术前后生理因素评分差异无统计学意义(P〉0.05)。24例术后1年以上患者中,手术前后PISQ总评分以及生理因素、情感因素和性伴侣因素评分比较,差异均无统计学意义(P〉0.05)。术前性生活有溢尿的39例患者中,25例(64.1%)术后PISQ总评分升高;术前性生活无溢尿的47例患者中,10例(21.3%)术后PISQ总评分升高;两者性生活改善率比较差异有统计学意义(P〈0.01)。结论 TVT术不会对患者的性生活造成顽固性损害。术后1年以内可能对患者的性生活产生一定负面影响,术后1年以后可逐渐恢复;性生活中不自主溢尿者,术后因症状缓解可提高性生活质量。
Bibliography:stress urinary incontinence; tension-free vaginal tape procedure; quality of sexual life
31-1259/R
Objective To investigate the impact of tension-free vaginal tape(TVT) procedure on quality of sexual life of female patients with stress urinary incontinence(SUI),and explore the related factors.Methods Ninety-four female patients with SUI received follow-up 6 months to 3 years after TVT procedure,and were investigated with Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire(PISQ),including physiological factor,emotional factor and sexual partner factor.The higher PISQ score indicated better quality of sexual life.Eighty-six questionnaires were recovered,with the recovery rate of 91.5%.Results Among the 86 patients,there was no significant change in the total score of PISQ after surgery(P0.05),while the emotional factor score significantly decreased,and the physiological factor score significantly increased after surgery(P0.05).Among the 62 patients followed up within 1 year after surgery,the total sco
ISSN:1674-8115
DOI:10.3969/j.issn.1674-8115.2012.04.012