Characteristic features of sexual function in patients with pelvic organ prolapse


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Objective. To evaluate the quality of sexual life in patients with pelvic organ prolapse (POP). Materials and methods. The study included 64 sexually active women. The main group consisted of 32 patients with POP, and the control group included 32 patients without POP and urinary incontinence. The research methods were analysis of complaints, POP-Q (Pelvic Organ Prolapse Quantification) system, questionnaires FSFI-19 (Female Sexual Function Index) and PFDI-20 (Pelvic Floor Distress Inventory). The patients of the main group who underwent surgical treatment for POP were assessed 6 months after the operation. Results. During the study, we were able to identify a correlation between PFDI-20 and FSFI-19 scores (r=-0.6, p=0.00002), which confirms the relationship between the severity of POP and sexual disorders in women. After the treatment, 27 patients with POP stage II, III and IVwere absolutely cured, and 5patients showed regression of POP to stage I (p<0.001). The number of patients with dyspareunia decreased by 5 times (p<0.001). There was an improvement in the scores of the questionnaires FSFI-19 and PFDI-20, POPDI-6 (Pelvic Organ Prolapse Distress Inventory) and UDI-6 (Urinal Distress Inventory). The questionnaire CRADI-8 (Colorectal-Anal Distress Inventory) did not show a statistical difference. Conclusion. POP negatively affects many aspects of intimate life. Comprehensive treatment can manage the condition of most patients and improve the quality of their sexual life.

Толық мәтін

Рұқсат жабық

Авторлар туралы

Yulia Dobrokhotova

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Email: pr.dobrohotova@mail.ru
MD, Professor, Head of the Department of Obstetrics and Gynecology

Armais Kamalov

M.V. Lomonosov Moscow State University

MD, Professor, Academician of the Russian Academy of Sciences, Director of the Scientific and Educational Center

Boris Slobodyanyuk

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Email: borisslo@mail.ru
PhD

Tamara Nagieva

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Email: nagieva.ts@mail.ru
Assistant of the Department of Obstetrics and Gynecology

Svetlana Khlynova

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Email: doc-khlinova@mail.ru
PhD, Associate Professor of the Department of Obstetrics and Gynecology

Valentina Dimitrova

F.I. Inozemtsev City Clinical Hospital

PhD, Head of the Gynecology Department, obstetrician-gynecologist of the highest qualification category

Әдебиет тізімі

  1. Hong M.K., Ding D.C. Current treatments for female pelvic floor dysfunctions. Gynecol. Minim. Invasive Ther. 2019; 8(4): 143-8. https://dx.doi.org/10.4103/ GMIT.GMIT_7_19.
  2. Good M.M., Solomon E.R. Pelvic floor disorders. Obstet. Gynecol. Clin. North Am. 2019; 46(3): 527-40. https://dx.doi.org/10.1016/j.ogc.2019.04.010.
  3. Wu J.M., Vaughan C.P, Goode P.S., Redden D.T., Burgio K.L., Richter H.E. et al. Prevalence and trends of symptomatic pelvic floor disorders in U.S. women. Obstet. Gynecol. 2014; 123(1): 141-8. https://dx.doi.org/10.1097/ AOG.0000000000000057.
  4. Доброхотова Ю.Э., Нагиева Т.С., Ильина И.Ю., Карева Е.Н., Кочина Н.А., Зрагус Е.В., Доброва А.Б., Шахмаратова И.А., Краснощок Е.В. Влияние радиочастотного неаблативного воздействия на экспрессию белков соединительной ткани урогенитального тракта у пациенток с синдромом релаксированного влагалища в послеродовом периоде. Акушерство и гинекология. 2019; 8: 119-25. [Dobrokhotova Yu.E., Nagieva T.S., Ilyina I.Yu., Kareva E.N., Kochina N.A., Zragus E.V., Dobrova A.B., Shakhmaratova I.A. Krasnoshchok E.V. Influence of nonablative radiofrequency on the expression of connective tissue proteins in the urogenital tract in patients with vaginal relaxation syndrome during the postpartum period. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; 8: 119-25. (in Russian)]. https://dx.doi.org/10.18565/aig.2019.8.119-125.
  5. Handa V.L., Cundijf G., Chang H.H., Helzlsouer K.J. Female sexual function and pelvic floor disorders. Obstet. Gynecol. 2008; 111(5): 1045-52. https://dx.doi. org/10.1097/AOG.0b013e31816bbe85.
  6. Barber M.D., Visco A.G., Wyman J.F., Fantl J.A., Bump R.C. Continence Program for Women Research Group Sexual function in women with urinary incontinence and pelvic organ prolapse. Obstet. Gynecol. 2002; 99(2): 281-9. https://dx.doi.org/10.1016/s0029-7844(01)01727-6.
  7. Edenfield A.L., Levin P.J., Dieter A.A., Amundsen C.L., Siddiqui N.Y. Sexual activity and vaginal topography in women with symptomatic pelvic floor disorders. J. Sex. Med. 2015; 12(2): 416-30. https://dx.doi.org/10.1111/ jsm.12716.
  8. Jelovsek J.E., Barber M.D. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am. J. Obstet. Gynecol. 2006; 194(5): 1455-61. https://dx.doi.org/10.1016/j.ajog.2006.01.060.
  9. Verbeek M., Hayward L. Pelvic floor dysfunction and its effect on quality of sexual life. Sex. Med. Rev. 2019; 7(4): 559-64. https://dx.doi.org/10.1016/j. sxmr.2019.05.007.
  10. Стеняева Н.Н., Хритинин Д.Ф., Чаусов А.А, Сухих Г.Т. Распространенность и структура сексуальных дисфункций у женщин при обращении в гинекологическую клинику. Акушерство и гинекология. 2017; 3: 101-7. [Stenyaeva N.N., Khritinin D.F., Chausov A.A., Sukhikh G.T. Prevalence and patterns of sexual dysfunctions in women visiting a gynecology clinic. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; 3: 101-7. (in Russian)]. https:// dx.doi.org/10.18565/aig.2017.3.101-7.
  11. Доброхотова Ю.Э., Нагиева Т.С. Дисфункция тазового дна у женщин репродуктивного периода, синдром релаксированного влагалища - необходимость реабилитации в послеродовом периоде. РМЖ. Мать и дитя. 2017; 15: 1121-4. [Dobrokhotova Yu.E., Nagieva T.S. Pelvic floor dysfunction in women of reproductive age, vaginal relaxation syndrome - necessity of rehabilitation in the postpartum period. RMJ. 2017; 15: 1121-4. (in Russian)].
  12. Kaminska A., Futyma K., Romanek-Piva K., Streit-Cieckiewicz D., Rechberger T. Sexual function specific questionnaires as a useful tool in management of urogynecological patients - Review. Eur. J. Obstet. Gynecol. Reprod. Biol. 2019; 234: 126-30. https://dx.doi.org/10.1016/j.ejogrb.2019.01.015.
  13. Lourengo T.R.M., Pergialiotis V., Durnea C.M., Elfituri A., Haddad J.M., Betschart C. et al. A systematic review of reported outcomes and outcome measures in randomized trials evaluating surgical interventions for posterior vaginal prolapse to aid development of a core outcome set. CHORUS: An International Collaboration for Harmonising Outcomes, Research and Standards in Urogynaecology and Women's Health. Int. J. Gynaecol. Obstet. 2019; Dec. 9. https://dx.doi.org/10.1002/ijgo.13079.
  14. La Rosa V.L., Ciebiera M., Lin L.T., Sleiman Z., Cerentini T.M., Lordelo P. et al. Multidisciplinary management of women with pelvic organ prolapse, urinary incontinence and lower urinary tract symptoms. A clinical and psychological overview. Prz Menopauzalny. 2019; 18(3): 184-90. https://dx.doi.org/10.5114/ pm.2019.89496.
  15. Liao S.C., Huang W.C., Su T.H., Lau H.H. Changes in female sexual function after vaginal mesh repair versus native tissue repair for pelvic organ prolapse: A meta-analysis of randomized controlled trials. J. Sex. Med. 2019; 16(5): 633-9. https://dx.doi.org/10.1016/j.jsxm.2019.02.016.
  16. Monti M., Schiavi M.C., Colagiovanni V., Sciuga V., D'oria O., Cerone G. et al. Effectiveness, quality of life and sexual functions in women with anterior compartment prolapse treated by native tissue repair. Minerva Ginecol. 2019; 71(1): 18-24. https://dx.doi.org/10.23736/S0026-4784.18.04305-8.
  17. Thompson J.C., Rogers R.G. Surgical management for pelvic organ prolapse and its impact on sexual function. Sex. Med. Rev. 2016; 4(3): 213-20. https:// dx.doi.org/10.1016/j.sxmr.2016.02.002.
  18. Rantell A., Srikrishna S., Robinson D. Assessment of the impact of urogenital prolapse on sexual dysfunction. Maturitas. 2016; 92: 56-60. https://dx.doi. org/10.1016/j.maturitas.2016.07.001.
  19. Bump R.C., Mattiasson A., Bo K., Brubaker L.P., DeLancey J.O., Klarskov P., Shull B.L. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am. J. Obstet. Gynecol. 1996; 175(1): 10-7. https://dx.doi.org/ 10.1016/s0002-9378(96)70243-0.
  20. Porter W.E., Steele A., Walsh P., Kohli N., Karram M.M. The anatomic and functional outcomes of defect-specific rectocele repairs. Am. J. Obstet. Gynecol. 1999; 181(6): 1353-8. https://dx.doi.org/10.1016/s0002-9378(99)70376-5.
  21. Maher C., Feiner B., Baessler K., Adams E.J., Hagen S., Glazener C.M. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst. Rev. 2010; (4): CD004014. https://dx.doi.org/10.1002/14651858.CD004014.pub4.
  22. Ulrich D., Dwyer P., Rosamilia A., Lim Y., Lee J. The effect of vaginal pelvic organ prolapse surgery on sexual function. Neurourol. Urodyn. 2015; 34(4): 316-21. https://dx.doi.org/10.1002/nau.22569.

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