Relationship Between Female Pelvic Floor Dysfunction and Sexual Dysfunction: An Observational Study
Relationship Between Female Pelvic Floor Dysfunction and Sexual Dysfunction: An Observational Study
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DOI：
10.1111/jsm.12882
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发表时间：
2015-05-01
影响因子：
3.5
通讯作者：
Pillastrini, Paolo
中科院分区：
文献类型：
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作者：
Bortolami, Arianna;Vanti, Carla;Pillastrini, Paolo
目的探讨女性骨盆底功能、性功能、开始物理治疗评估和治疗骨盆底相关功能障碍的女性人群的人口统计学和临床特征（尿失禁，盆腔器官脱垂，外阴痛，阴道痉挛，和便秘）。方法我们同意并收集了门诊物理治疗诊所85名连续患者的完整人口统计数据以及与症状和临床状况相关的数据。对两组患者的临床特征和人体测量学特征进行分析。方差分析和线性回归分析用于分析女性性功能指数（FSFI）量表评分，而零膨胀β-二项式回归用于疼痛子量表。主要结果测量主要结果测量是FSFI评分，而次要结果测量是与疼痛相关的FSFI子量表评分。其中33%有生育史，82%有高盆底张力。处于中三分之一年龄组并表现出低骨盆底张力（Beta=6.8; 95%置信区间[CI]=[1.4; 12.0]）与较低水平的性功能障碍显著相关。骨盆底张力低的女性也报告疼痛较低（比值比=4.0; 95% CI=[1.6; 9.6]），而年龄较轻和身体不满意的受试者更有可能没有性活动在一个月前的规模measurement.ConclusionIn女性患者骨盆底肌肉功能障碍进行物理治疗和康复，性功能障碍似乎与年龄和高骨盆底肌张力显著相关。Bortolami A，Vanti C，Banchelli F，Guccione AA和Pillastrini P.女性骨盆底功能障碍与性功能障碍之间的关系：一项观察性研究。J Sex Med 2015;12：1233-1241.
IntroductionThe ability to express one's sexuality and engage in sexual activity requires multisystemic coordination involving many psychological functions as well as the integrity of the nervous, hormonal, vascular, immune, and neuromuscular body structures and functions.AimThe purpose of this study was to investigate the associations among pelvic floor function, sexual function, and demographic and clinical characteristics in a population of women initiating physical therapy evaluation and treatment for pelvic floor-related dysfunctions (urinary incontinence, pelvic organ prolapse, vulvodynia, vaginismus, and constipation).MethodsWe consented and collected completed demographic data and data related to symptoms and clinical condition on 85 consecutive patients in an outpatient physical therapy clinic. Clinical and anthropometric characteristics were analyzed descriptively. Analysis of variance and linear regression analyses were used to analyze Female Sexual Function Index (FSFI) scale ratings, whereas zero-inflated beta-binomial regression was applied to the pain subscale.Main Outcome MeasuresMain outcome measure was FSFI score, whereas the secondary outcome measure was the FSFI subscale score related to pain.ResultsWomen in our sample were 38 years old on average, 33% of whom had given birth and 82% of whom had high tone pelvic floor. Being in the middle-tercile age group and exhibiting low pelvic floor tone (Beta=6.8; 95% confidence interval [CI]=[1.4; 12.0]) were significantly associated with lower levels of sexual dysfunction. Women with low tone pelvic floor also reported lower pain (odds ratio=4.0; 95% CI=[1.6; 9.6]), whereas younger aged and physically unsatisfied subjects were more likely not to have sexual activity in the month prior to scale measurement.ConclusionIn female patients with pelvic floor muscle dysfunction undergoing physical therapy and rehabilitation, sexual dysfunction appears to be significantly correlated with age and high pelvic floor muscle tone. Bortolami A, Vanti C, Banchelli F, Guccione AA, and Pillastrini P. Relationship between female pelvic floor dysfunction and sexual dysfunction: An observational study. J Sex Med 2015;12:1233-1241.