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| 發表人 | 討論主題 | 發表時間 | 討論數 |
| 李建達 | 男性擁有尿失禁的性伴侶時的性經驗 | 2011/1/28 下午 03:06:20 | 0 |
| 原 文 | 題 目 | Sexual experiences of men with incontinent partners. |
| 作 者 | Bekker MD, Beck JJ, Putter H, van Driel MF, Pelger RC, Weijmar Schultz WC, Lycklama à Nijeholt GA, Elzevier HW. | |
| 出 處 | The Journal of Sexual Medicine 2010; 7: 1877-82. | |
| 出版日期 | May, 2010. | |
| 評 論 |
過去有幾篇報告指出尿失禁本身會影響女性的性功能及性的滿意度。然而，卻沒有科學的證據去探討女性的尿失禁影響到其男性伴侶的性功能程度。 於是本文作者在兩年半間共收集了189對夫婦（均大於18歲）完成在門診做評估表。除了疾病史及主要的泌尿問題外，就是她們要去填寫GRISS問卷（這是一份具28項問題，用來評估性功能異常的表單）。結果42.9%的女性會把尿失禁當成泌尿疾病的主訴，尿失禁的女性具較低的整體性功能（P=0.02）、較少頻率的性交次數（P=0.02）、更多的溝通問題（P=0.036）及較常逃避性交的行為（P=0.002）；至於她們的男性伴侶比起沒有尿失禁的女性男伴亦會降低了整體的性功能（P=0.001）。進一步而言，有女性尿失禁的男性伴侶，他們也會降低性交的次數、降低滿意度和發生更多的勃起功能障礙問題。 所以這個研究的結論發現，女性尿失禁不僅影響到自己整體的性功能及性的滿意度外，也會造成男性伴侶明顯地影響。 |
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| abstract |
INTRODUCTION: Several studies show that urinary incontinence (UI) impairs womens sexual functioning and sexual satisfaction. However, there is no scientific knowledge about the effects of UI on sexual functioning of the male partners. AIM: To analyze sexual functioning of the male partners of females with UI. METHODS: During a period of 2.5 years all new female patients and their partners (both groups aged 18 years and older), who presented at our outpatient clinic for urological evaluation, were asked for demographic characteristics, medical history, and referral indication including the main urological complaint. In addition they were asked to fill in the Golombok Rust Inventory of Sexual Satisfaction questionnaires about sexual functioning. MAIN OUTCOME MEASURES: Sexual function measured by the Golombok Rust Inventory of Sexual Satisfaction questionnaire. RESULTS: A total of 189 sexually active couples completed the questionnaires. Eighty-one (42.9%) of the women had UI as main urological complaint. Differences were found between women with UI and those without. Women with UI have a lower overall sexual function (P = 0.02), lower frequency of intercourse (P = 0.02), more problems with communication (P = 0.036), and more often show avoidable behavior with regard to sexual activity. (P = 0.002) Men with partners with UI showed a diminished overall sexual function (6.66 +/- 1.53) compared with men with women without UI (5.95 +/- 1.22, P = 0.001). Furthermore, comparisons of subscales also demonstrate a lower frequency of intercourse (5.62 +/- 2.00, 6.49 +/- 1.96), less satisfaction (8.08 +/- 2.79, 9.69 +/- 3.63), and more erectile problems (6.01 +/- 2.28, 6.87 +/- 3.23) in men with partners with UI. (P = 0.03, P = 0.001, P = 0.037) CONCLUSIONS: This study shows that female urinary incontinence correlates with their partners overall sexual functioning and sexual satisfaction. In addition, significant differences were found with regard to the satisfaction with ones sex life between a woman with UI and her partner. |
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