Journal of Okayama Medical Association
Published by Okayama Medical Association

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骨盤臓器脱に対するTVM 手術前後の性機能に関する検討

Matsumoto, Yuko Department of Urology, Okayama University Graduate School of Medicne, Dentistry and Pharmaceutical Sciences
Abstract
We prospectively assessed sexual function before and after a tension-free vaginal mesh ( TVM) procedure for pelvic organ prolapse ( POP) . From April 2007 to March 2009, a total of 42 patients, who reported having an active sex life preoperatively underwent TVM for POP. Female sexual function was evaluated with the self-reporting, multiple-domain Female Sexual Function Index (FSFI) . We administered the FSFI to all of the patients before and at 3, 6, and 12 months after surgery. The mean age at surgery was 61.3±7.1 years. Before the TVM surgery, the FSFI score was very low ( 12.5±9.0) . The total FSFI score was improved significantly at 12 months after surgery ( 17.4±7.7) . The Arousal, Lubrication and Orgasm domains were significantly improved at 12 months after surgery. POP appears to have a significant negative impact on female sexual function. Our findings indicate that TVM for POP improved sexual function in a group of Japanese women with POP.
Keywords
骨盤臓器脱 (pelvic organ prolapse)
TVM (tension-free vaginal mesh)
女性泌尿器科 (female urology)
性機能 (sexual function)
Note
原著(Original)
指導責任者:那須保友 教授
ISSN
0030-1558
NCID
AN00032489
DOI