Sexual Activity After Bariatric Surgery: A Prospective Monocentric Study Using the PISQ-IR Questionnaire

医学 尿失禁 减肥 体质指数 外科 前瞻性队列研究 泌尿妇科 盆底 性功能障碍 生活质量(医疗保健) 性功能 肥胖 普通外科 内科学 护理部
作者
Patrick‐Julien Treacy,Clémentine Mazoyer,Ugo Giovanni Falagario,Antonio Iannelli
出处
期刊:The Journal of Sexual Medicine [Elsevier]
卷期号:16 (12): 1930-1937 被引量:4
标识
DOI:10.1016/j.jsxm.2019.09.004
摘要

Abstract Introduction Obesity can lead to pelvic floor disorders, interfering with women’s sexual life; Prolapse/Incontinence Sexual Questionnaire-International Urogynecology Association–Revised (PISQ-IR) is a new instrument to measure sexual life in women with pelvic floor disorders. Aims To assess the utility of using PISQ-IR in morbidly obese women undergoing bariatric surgery and to show the improvement of bariatric surgery on sexuality. Methods This prospective monocentric study included all women who underwent bariatric surgery from June 2016–May 2017. Sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) was performed by 1 surgeon, and data were collected by 1 researcher. Demographics, medical history, number of deliveries, and type of bariatric surgery (SG or RYGB) were collected at baseline. At the 1-year follow-up consultation, postoperative complications, percentage of total body weight loss (TWL) and percentage excess weight loss were assessed. Questionnaires were given at baseline and at 1-year follow-up. Main Outcome Measures Postoperative complications and total weight loss were measured at the 1-year follow-up. Sexual activity, using the PISQ-IR, and pelvic organ prolapse, urinary incontinence, and anal incontinence, using the urinary symptom profile and PFDI (Pelvic Floor Distress Inventory) 20, were compared before surgery and at 1-year follow-up. Results 72 patients were included at baseline, 54 (75%) were considered for final analysis (30 RYGB and 24 SG), and 51 patients were considered for PISQ-IR. The mean preoperative body mass index was 41 ± 5.4 kg/m2, and mean age was 43 ± 11.8 years. Both procedures induced an important weight loss (mean TWL of 33%) and had a similar percentage of TWL for each procedure: 31 (15–46) for SG vs 34 (9–51) for RYGB. 9 patients (17 [6%]) became sexually active 1 year after surgery. For the sexually inactive population after 1 year, there was no differences in the PISQ-IR in the follow-up. When body mass index loss was >13 kg/m2, a higher percentage of the sexually active population improved their different scores, and there were significant results for both global quality of life and desire (P = .026 and .046). The other questionnaires showed a significant decrease in urinary incontinence symptoms (P < .001) associated with weight loss, whereas there was no difference in terms of pelvic organ prolapse or anal incontinence. Conclusion PISQ-IR is a useful instrument to measure sexual function regarding pelvic floor disorders. Bariatric surgery improves sexual activity in obese women 1 year after surgery.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
2秒前
冷傲的鞋子完成签到,获得积分10
4秒前
李建恩发布了新的文献求助10
5秒前
李爱国应助俭朴映阳采纳,获得10
5秒前
kaan完成签到,获得积分20
5秒前
豆子关注了科研通微信公众号
5秒前
小白完成签到,获得积分0
5秒前
longDsSnz发布了新的文献求助10
5秒前
Lucky燕完成签到,获得积分10
6秒前
共享精神应助智慧瑶采纳,获得10
6秒前
勤奋怀蕊完成签到,获得积分20
7秒前
7秒前
汉堡发布了新的文献求助10
7秒前
向日葵发布了新的文献求助10
9秒前
9秒前
cookie11111发布了新的文献求助10
10秒前
chkskw发布了新的文献求助10
11秒前
小白发布了新的文献求助10
12秒前
852应助榴下晨光采纳,获得10
13秒前
gyq2006发布了新的文献求助10
14秒前
zero完成签到,获得积分10
14秒前
16秒前
李建恩完成签到,获得积分10
17秒前
浮云完成签到,获得积分10
18秒前
19秒前
chkskw完成签到,获得积分10
19秒前
Lucky燕发布了新的文献求助20
19秒前
史道夫发布了新的文献求助10
22秒前
23秒前
水1111发布了新的文献求助10
23秒前
Skywalker完成签到,获得积分10
23秒前
呆呆要努力完成签到 ,获得积分10
23秒前
24秒前
俏皮秋双发布了新的文献求助10
24秒前
西红柿炒番茄应助liubo采纳,获得10
24秒前
下雨了吗完成签到,获得积分20
24秒前
细心的傥完成签到,获得积分10
25秒前
25秒前
aizhuhubao关注了科研通微信公众号
25秒前
阿巴阿巴发布了新的文献求助10
25秒前
高分求助中
Evolution 10000
Sustainability in Tides Chemistry 2800
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
An Introduction to Geographical and Urban Economics: A Spiky World Book by Charles van Marrewijk, Harry Garretsen, and Steven Brakman 600
Diagnostic immunohistochemistry : theranostic and genomic applications 6th Edition 500
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 400
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3153568
求助须知:如何正确求助?哪些是违规求助? 2804730
关于积分的说明 7861428
捐赠科研通 2462728
什么是DOI,文献DOI怎么找? 1310940
科研通“疑难数据库(出版商)”最低求助积分说明 629428
版权声明 601809