The objective of this research was to determine whether sexual complaints,such as dyspareu nia,are associated with pelvic floor disorders.We used data collected for the Maryland Women’s Health Study.Among adult women...The objective of this research was to determine whether sexual complaints,such as dyspareu nia,are associated with pelvic floor disorders.We used data collected for the Maryland Women’s Health Study.Among adult women scheduled for hysterectomy,we used multiple logistic re-gression analysis to identify chara cteristics associated with4sexual complaints:decreased libi do,vaginal dryness,dyspareunia,and anorgasmia.Among1299participants,495(38.1%)had evidence of pelvic floor disorders.Sexual complaints were significant ly more common among women with pelvic floor disorders(53.2%vs 40.4%,P<.01).In the multiple regression model,u rinary in-continence was significantly associated with low libido(odds ratioOR1.96),vaginal dryness(OR 2.11),and dyspareunia(OR 2.04),independent of age,educational attainment,and race.In contrast,p elvic organ prolapse was not associated with any sexual complaint.In a cohort of women planning hys -terectomy,wome n with urinary in-continence were significantly more likely to report sexual complaints.展开更多
BACKGROUND:We designed this trial to assess whether the addition of standardized Burch colposuspension to abdominal sacrocolpopexy for the treatment of pelvic organ prolapse decreases postoperative stress urinary inco...BACKGROUND:We designed this trial to assess whether the addition of standardized Burch colposuspension to abdominal sacrocolpopexy for the treatment of pelvic organ prolapse decreases postoperative stress urinary incontinence in women without preoperative symptoms of stress incontinence. METHODS: Women who did not report symptoms of stress incontinence and who chose to undergo sacrocolpopexy to treat prolapse were randomly assigned to concomitant Burch colposuspension or to no Burch colposuspension (control) and were evaluated in a blinded fashion three months after the surgery.The primary outcomes included measures of stress incontinence(symptoms, stress testing, or treatment) and measures of urge symptoms. Enrollment was stopped after the first interim analysis because of a significantly lower frequency of stress incontinence in the group that underwent the Burch colposuspension. RESULTS: Of 322 women who underwent randomization, 157 were assigned to Burch colposuspension and 165 to the control group. Three months after surgery, 23.8 percent of the women in the Burch group and 44.1 percent of the controls met one or more of the criteria for stress incontinence(P < 0.001). There was no significant differenc ebetween the Burch group and the control group in the frequency of urge incontinence (32.7 percent vs. 38.4 percent, P = 0.48). After surgery, women in the control group were more likely to report bothersome symptoms of stress incontinence than those in the Burch group who had stress incontinence (24.5 percent vs. 6.1 percent, P < 0.001). CONCLUSIONS: In women without stress incontinence who are undergoing abdominal sacrocolpopexy for prolapse, Burch colposuspension significantly reduced postoperative symptoms of stress incontinence without increasing other lower urinary tract symptoms.展开更多
文摘The objective of this research was to determine whether sexual complaints,such as dyspareu nia,are associated with pelvic floor disorders.We used data collected for the Maryland Women’s Health Study.Among adult women scheduled for hysterectomy,we used multiple logistic re-gression analysis to identify chara cteristics associated with4sexual complaints:decreased libi do,vaginal dryness,dyspareunia,and anorgasmia.Among1299participants,495(38.1%)had evidence of pelvic floor disorders.Sexual complaints were significant ly more common among women with pelvic floor disorders(53.2%vs 40.4%,P<.01).In the multiple regression model,u rinary in-continence was significantly associated with low libido(odds ratioOR1.96),vaginal dryness(OR 2.11),and dyspareunia(OR 2.04),independent of age,educational attainment,and race.In contrast,p elvic organ prolapse was not associated with any sexual complaint.In a cohort of women planning hys -terectomy,wome n with urinary in-continence were significantly more likely to report sexual complaints.
文摘BACKGROUND:We designed this trial to assess whether the addition of standardized Burch colposuspension to abdominal sacrocolpopexy for the treatment of pelvic organ prolapse decreases postoperative stress urinary incontinence in women without preoperative symptoms of stress incontinence. METHODS: Women who did not report symptoms of stress incontinence and who chose to undergo sacrocolpopexy to treat prolapse were randomly assigned to concomitant Burch colposuspension or to no Burch colposuspension (control) and were evaluated in a blinded fashion three months after the surgery.The primary outcomes included measures of stress incontinence(symptoms, stress testing, or treatment) and measures of urge symptoms. Enrollment was stopped after the first interim analysis because of a significantly lower frequency of stress incontinence in the group that underwent the Burch colposuspension. RESULTS: Of 322 women who underwent randomization, 157 were assigned to Burch colposuspension and 165 to the control group. Three months after surgery, 23.8 percent of the women in the Burch group and 44.1 percent of the controls met one or more of the criteria for stress incontinence(P < 0.001). There was no significant differenc ebetween the Burch group and the control group in the frequency of urge incontinence (32.7 percent vs. 38.4 percent, P = 0.48). After surgery, women in the control group were more likely to report bothersome symptoms of stress incontinence than those in the Burch group who had stress incontinence (24.5 percent vs. 6.1 percent, P < 0.001). CONCLUSIONS: In women without stress incontinence who are undergoing abdominal sacrocolpopexy for prolapse, Burch colposuspension significantly reduced postoperative symptoms of stress incontinence without increasing other lower urinary tract symptoms.
