Female sexual dysfunction: a new urogynaecological research field
Female sexual dysfunction: a new urogynaecological research field
复制标题
DOI：
10.1111/j.1464-410x.2007.07442.x
复制
发表时间：
2008-03-01
影响因子：
4.5
通讯作者：
Strasser, Hannes
中科院分区：
文献类型：
--
作者：
Dalpiaz, Orietta;Kerschbaumer, Andrea;Strasser, Hannes
目的对已发表的关于女性性功能障碍（FSD）的泌尿妇科方面的资料进行严格审查，因为FSD是一个发展中的多学科问题，与多种生物学、医学和心理因素有关。方法报告的FSD患病率为19-50%，有下尿路症状或尿失禁（UI）的妇女不仅抱怨生活质量恶化，而且性生活也下降，发生率高达26.47%。此外，泌尿妇科手术是FSD的一个重要但被低估的原因。在不同的数据库（Pub Medical、Medline、serial titles、Cochrane library和NLM gateway数据库）中搜索关键词“性”；性功能;尿失禁;盆腔器官脱垂；问卷调查;症状严重程度;流行病学;生活质量；仪器;性的健康;阴道;阴道手术;盆腔手术”。结果缺乏一种标准化的工具来评估FSD。近年来研究表明尿失禁对性功能的影响，但其病理生理机制尚未阐明。阴道或盆腔手术不影响整体的性满意度。结论我们的研究强调了对FSD相关的解剖、生理和感觉机制进行研究的必要性。需要具体的问卷来量化问题。在定义中，症状评估和术前咨询很重要，以区分整体性功能和个体参数，如社会心理环境。只有这样，才有可能发现新的治疗靶点。在泌尿妇科术语中，成功的定义应该包括生活质量和性生活质量。需要立即对这一领域进行研究。
ObjectiveTo critically review published data on the urogynaecological aspects of female sexual dysfunction ( FSD), as FSD is a developing multidisciplinary issue associated with several biological, medical and psychological factors.MethodsThe reported prevalence of FSD is 19-50% and women with lower urinary tract symptoms or urinary incontinence (UI) not only complain of a deteriorating of quality of life but also of sexual life with an incidence as high as 26 47%. Furthermore, urogynaecological surgery represents an important but underestimated cause of FSD. Different databases ( Pub Medical, Medline, serial titles, the Cochrane library and the NLM gateway database) were searched for the keywords `sexuality; sexual function; urinary incontinence; pelvic organ prolapse; questionnaire; symptom severity; epidemiology; quality of life; instruments; sexual health; vagina; vaginal surgery; pelvic surgery'.ResultsThere is a lack of a standardized instrument for assessing FSD. Recent studies investigate the impact of UI on sexual function, but the pathophysiology has not been elucidated. Vaginal or pelvic surgery does not affect overall sexual satisfaction.ConclusionsOur investigation highlights the need for studies to assess the anatomical, physiological and sensory mechanisms related to FSD. Specific questionnaire are needed to quantify the problem. In the definition, symptoms assessment and preoperative counselling is important, to make a distinction between overall sexual function and individual parameters, such as psychosocial context. Only in this way, will it be possible to identify new therapeutic targets. A definition of success in urogyneacological terms should include aspects of quality of life and quality of sexual life. Immediate research in this field is needed.