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Comparison of sexual function between sacrocolpopexy and sacrocervicopexy
( Yon Chu Ko ),( Eun-hee Yoo ),( Gwan Hee Han ),( Young-mi Kim ) 대한산부인과학회 2017 Obstetrics & Gynecology Science Vol.60 No.2
Objective To compare sexual function before and 12 months after between sacrocolpopexy and sacrocervicopexy Methods This retrospective study examined a cohort of 55 sexually active women who underwent either supracervical hysterectomy with sacrocervicopexy (n=28) or total abdominal hysterectomy with sacrocolpopexy (n=27) for stage II to IV pelvic organ prolapse. Pelvic floor support was measured with Pelvic Organ Prolapse-Quantification examination. Pelvic floor function was measured with the Pelvic Floor Distress Inventory-Short Form 20 and sexual function was measured with Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-Short Form 12 (PISQ-12). Results Baseline pelvic floor symptoms, demographics and PISQ-12 questionnaire scores were similar between the two groups. Overall improvements in sexual function were seen based on PISQ-12 scores in both groups, but were not statistically significant. No differences were seen in PISQ-12 scores regardless of sparing the cervix or surgical route. Responses to the PISQ-12 question of avoiding sexual intercourse because of vaginal bulging showed significant improvement in both group. No recurrences of prolapse occurred. Conclusion In women with pelvic organ prolapse, sexual function after either sacrocolpopexy or sacrocervicopexy was not different. Sexual dysfunction in terms of avoidance of sexual activity because of vaginal bulging was greatly improved in both groups with statistical significance.
GG-22 : Urinary incontinence and sexual function
( Yon Chu Ko ),( Young Mi Kim ),( Eun Hee Yoo ) 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-
목적: Urinary incontinence may affects woman`s physical and psychological well-being. The purposes of this study were to assess the effects of anti-incontinence surgery on sexual function and identify the factors affecting sexual function 방법: This was a restrospective study 190 women with urinary incontinence who underwent anti-incontinence surgery. Repeated measures analysis of variance was used to assess changes in Korean version of Pelvic Organ Prolapse/Uinary Incontinence Sexual Questionnaire (PISQ-12) 결과: Mean Pelvic Organ Prolapse/Urinary Incontinence Sexual questionnaire scores increased from 28.1 at baseline to 30.4 at 12months (p=.94). Incontinence during sex, Fear of incontinence during sex, and bearing down sensation each significantly improved after anti-incontinence surgery. Pre and postoperative use of antimuscarinics negatively impacted sexual function 결론: Anti-incontinence surgery for urinary incontinence improves sexual function
유은희 ( Yon Chu Ko ),( Eun-hee Yoo ),( Gwan Hee Han ),( Young-mi Kim ) 대한산부인과학회 2018 대한산부인과학회 학술대회 Vol.104 No.-
Objective To compare sexual function before and 12 months after between sacrocolpopexy and sacrocervicopexy Methods This retrospective study examined a cohort of 55 sexually active women who underwent either supracervical hysterectomy with sacrocervicopexy (n=28) or total abdominal hysterectomy with sacrocolpopexy (n=27) for stage II to IV pelvic organ prolapse. Pelvic floor support was measured with Pelvic Organ Prolapse-Quantification examination. Pelvic floor function was measured with the Pelvic Floor Distress Inventory-Short Form 20 and sexual function was measured with Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-Short Form 12 (PISQ-12). Results Baseline pelvic floor symptoms, demographics and PISQ-12 questionnaire scores were similar between the two groups. Overall improvements in sexual function were seen based on PISQ-12 scores in both groups, but were not statistically significant. No differences were seen in PISQ-12 scores regardless of sparing the cervix or surgical route. Responses to the PISQ-12 question of avoiding sexual intercourse because of vaginal bulging showed significant improvement in both group. No recurrences of prolapse occurred. Conclusion In women with pelvic organ prolapse, sexual function after either sacrocolpopexy or sacrocervicopexy was not different. Sexual dysfunction in terms of avoidance of sexual activity because of vaginal bulging was greatly improved in both groups with statistical significance.