| 原 文 |
題 目 |
Improvement of sexual function after transobturator tape procedure in women with stress urinary incontinence. |
| 作 者 |
Arts-de Jong M, van Altena AM, Aalders CI, Dijkhuizen FP, van Balken MR. |
| 出 處 |
Gynecol Surg. 2011;8(3):315-319. |
| 出版日期 |
Sep 2011 |
| 評 論 |
吊帶手術廣泛使用在應力性尿失禁的治療。本文的目的在於評估經閉孔吊帶手術後對婦女性功能的影響。文中針對54位上述方法治療應力性尿失禁的患者，在生活品質、尿失禁及性功能等方面，在手術前、術後六週及術後十二週做自我問卷填寫。結果在術前有40位（佔78%）還有從事性活動者，在術後不論在性活動的頻率、性的需求及潤滑或高潮等問題，皆無明顯改變。術前在性活動時有55%會漏尿的患者，在術後僅剩6.5%會漏。性的滿意度在術後六週（P=0.05）及十二週（P=0.03）皆有明顯進步。在性行為中或事後疼痛的情形皆有下降；僅有一位病人術後疼痛加劇。所以綜合以上結果，經閉孔吊帶來治療應力性尿失禁，對於女性的性功能包含減少漏尿、性行為中或事後的疼痛皆有正面效果，所以可以改善性的滿意度。然而，這僅是初步的研究結果，仍需要進一步探討及更多個案才能支持這個發現。
|
| abstract |
Sling procedures are a widely proven treatment for stress urinary incontinence. The aim of this prospective study was to evaluate the effect of the transobturator tape on female sexual functioning. Fifty-four women treated for stress urinary incontinence with transobturator tape filled out self-administered questionnaires on quality of life, urinary incontinence, and sexual function prior to surgery and 6 weeks and 12 months postoperatively. Preoperatively, 40 women (78%) were sexually active. There were no significant postoperative changes regarding frequency of sexual activity, sexual desire, and problems with lubrication or orgasm. Preoperatively, 55% reported urinary leakage during sexual activity and after surgery 6.5%. Sexual satisfaction was significantly improved 6 weeks (p=0.05) and 12 months (p=0.03) postoperatively. Pain during or after sexual activity was declined, only one patient reported worsening of pain. The transobturator tape procedure has a positive effect on female sexual functioning by reducing urinary leakage and pain during or after sexual activity. It seems to improve the overall sexual satisfaction. Further research is warranted to support these preliminary findings.
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