Female Sexual Function and Quality of Life After Pelvic Floor Surgery
Abstract
Introduction: Pelvic floor surgery can significantly affect female sexual function and quality of life, impacting clinical outcomes and patient satisfaction. Understanding these effects is crucial for optimizing patient care.
Objective: To review the literature about the impact of pelvic floor surgery on female sexual function and quality of life.
Methods: A comprehensive literature search was conducted through PubMed and Scopus databases, covering publications from the last ten years. Articles were selected based on relevance, quality, and focus on sexual function and quality of life after pelvic floor surgery.
Results: Pelvic floor surgery may affect female sexual function through physical, emotional, and anatomical changes. Postoperative dysfunction may involve pain, vaginal scarring, altered anatomy, or psychological distress. Decreased function is reported in 13% of women undergoing stress incontinence surgery and 37.5% of those undergoing complex urgency-type incontinence surgery. However, many studies report improvements in quality of life and sexual function following successful repair of pelvic organ prolapse or incontinenc
Conclusion: Pelvic floor surgery can affect sexual function and the quality of life. A multidisciplinary approach is essential to help women regain sexual satisfaction and achieve optimal quality of life after pelvic floor surgery.
Fungsi Seksual dan Kualitas Hidup Wanita Pasca Operasi Dasar Panggul
Abstrak
Pendahuluan: Bedah dasar panggul dapat secara signifikan memengaruhi fungsi seksual dan kualitas hidup wanita, yang berdampak pada hasil klinis dan kepuasan pasien. Oleh karena itu, pengetahuan mengenai fungsi seksual dan kualitas hidup wanita pasca operasi dasar panggul sangat penting untuk mengoptimalkan perawatan pasien.
Tujuan: Meninjau literatur mengenai dampak operasi dasar panggul terhadap fungsi seksual dan kualitas hidup wanita.
Metode: Tinjauan pustaka dilakukan melalui basis data PubMed dan Scopus untuk publikasi 10 tahun terakhir. Artikel dipilih berdasarkan relevansi, kualitas, serta fokus pada fungsi seksual dan kualitas hidup pasca operasi dasar panggul.
Hasil: Operasi dasar panggul dapat memengaruhi fungsi seksual melalui perubahan fisik, emosional, dan anatomi. Disfungsi seksual pascaoperasi dapat berupa nyeri, jaringan parut, perubahan anatomi, atau stres psikologis. Penurunan fungsi dilaporkan pada 13% pasien pascaoperasi inkontinensia urin tipe stres dan 37,5% pada kasus kompleks urgensi. Namun, banyak studi menunjukkan perbaikan fungsi seksual dan kualitas hidup setelah perbaikan prolaps atau inkontinensia yang berhasil..
Kesimpulan: Pembedahan dasar panggul dapat mempengaruhi fungsi seksual dan kualitas hidup pasien. Pendekatan multidisiplin sangat penting untuk membantu wanita mencapai kembali kepuasan seksual serta kualitas hidup yang optimal setelah operasi dasar panggul.
Kata Kunci: Fungsi Seksual Wanita; Inkontinensia Urin; Operasi Dasar Panggul; Prolaps Organ Panggul
Keywords
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Kershaw V, Jha S. Female sexual dysfunction. Obstet Gynaecol. 2022;24(1):12–23.
Kılıç M. Prevalence and risk factors of sexual dysfunction in healthy women in Turkey. Afr Health Sci. 2019;19(3):2623.
Rodrigues Â, Rodrigues C, Negrão L, Afreixo V, Castro MG. Female sexual function and quality of life after pelvic floor surgery: a prospective observational study. Int Urogynecol J. 2021;32(5):1273–83.
Bozkurt M, Yumru AE, Şahin L. Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor. Taiwan J Obstet Gynecol. 2014;53(4):452–8.
Sheila A D, Abreu-Sosa SM. Pelvic Floor Dysfunction. Hip Arthrosc Hip Jt Preserv Surg. 2022;783–93.
Antosh DD, Dieter AA, Balk EM, Kanter G, Kim-Fine S, Meriwether K V., et al. Sexual function after pelvic organ prolapse surgery: a systematic review comparing different approaches to pelvic floor repair. Am J Obstet Gynecol. 2021;225(5):475.e1-475.e19.
Jha S. Maintaining sexual function after pelvic floor surgery. Climacteric. 2019maiatzakaren ;22(3):236–41.
Verbeek M, Hayward L. Pelvic Floor Dysfunction and Its Effect On Quality Of Sexual Life. Sex Med Rev. 2019;7(4):559–64.
Goldstein I, Clayton AH, Goldstein AT, Kim NN, Kingsberg SA. Textbook of Female Sexual Function and Dysfunction. Textbook of Female Sexual Function and Dysfunction. New York: Wiley Blackwell; 2018.
Starc A, Jukić T, Poljšak B, Dahmane R. Female Sexual Function and Dysfunction: A Cross-National Prevalence Study in Slovenia. Acta Clin Croat. 2018;57(1):52.
Hoffman BL, Schorge JO, Schaffer JI, Halvorson LM, Bradshaw KD, Cunningham FG. Williams Gynecology. 2nd Editio. New York: McGraw- Hill Education; 2012.
Bahadori F, Jahanian Sadatmahalleh S. The impact of rheumatic diseases on sexual function in women: A literature review. J Res Dev Nurs Midwifery. 2020;17(0):0–0.
Al-Badr A, Saleem Z, Kaddour O, Almosaieed B, Dawood A, Al-Tannir M, et al. Prevalence of pelvic floor dysfunction: a Saudi national survey. BMC Womens Health. 2022;22(1):1–8.
Schulz JA, Drutz HP. Classification of disorders of female pelvic support and the role of collagen. Female Pelvic Med Reconstr Pelvic Surg. 2006(e)ko;61–8.
Ghanbari Z, Ghaemi M, Shafiee A, Jelodarian P, Hosseini RS, Pouyamoghaddam S, et al. Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis. J Clin Med. 2022;11(23).
Chen CCG, Cox JT, Yuan C, Thomaier L, Dutta S. Knowledge of pelvic floor disorders in women seeking primary care: A cross-sectional study. BMC Fam Pract. 2019;20(1):1–10.
Hage-Fransen MAH, Wiezer M, Otto A, Wieffer-Platvoet MS, Slotman MH, Nijhuis-van der Sanden MWG, et al. Pregnancy- and obstetric-related risk factors for urinary incontinence, fecal incontinence, or pelvic organ prolapse later in life: A systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2021;100(3):373–82.
Kenne KA, Wendt L, Brooks Jackson J. Prevalence of pelvic floor disorders in adult women being seen in a primary care setting and associated risk factors. Sci Reports 2022 121. 2022;12(1):1–6.
Bø K, Anglès-Acedo S, Batra A, Brækken IH, Chan YL, Jorge CH, et al. International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training. Int Urogynecology J 2022 3310. 2022;33(10):2633–67.
Arnouk A, De E, Rehfuss A, Cappadocia C, Dickson S, Lian F. Physical, Complementary, and Alternative Medicine in the Treatment of Pelvic Floor Disorders. Curr Urol Rep. 2017;18(6):1– 13.
Jundt K, Peschers U, Kentenich H. The Investigation and Treatment of Female Pelvic Floor Dysfunction. Dtsch Arztebl Int. 2015;112(33– 34):564.
Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Williams Obstetrics. 24. arg. New York: McGraw-Hill Education/Medical; 2014. 1358 or.
Bicudo-Fürst MC, Borba Leite PH, Araújo Glina FP, Baccaglini W, de Carvalho Fürst RV, Bezerra CA, et al. Female Sexual Function Following Surgical Treatment of Stress Urinary Incontinence: Systematic Review and Meta-Analysis. Sex Med Rev. 2018;6(2):224–33.
Wihersaari O, Karjalainen P, Tolppanen AM, Mattsson N, Nieminen K, Jalkanen J. Sexual Activity and Dyspareunia After Pelvic Organ Prolapse Surgery: A 5-Year Nationwide Follow-up Study. Eur Urol Open Sci. 2022;45:81–9.
Glass Clark SM, Huang Q, Sima AP, Siff LN. Effect of Surgery for Stress Incontinence on Female Sexual Function. Obstet Gynecol. 2020(e)ko;135(2):352–60.
Thiagamoorthy G, Srikrishna S, Cardozo L. Sexual function after urinary incontinence surgery. Maturitas. 2015;81(2):243–7.
Kayondo M, Kaye DK, Migisha R, Tugume R, Kato PK, Lugobe HM, et al. Impact of surgery on quality of life of Ugandan women with symptomatic pelvic organ prolapse: a prospective cohort study. BMC Women’s Heal. 2021;1–7.
Ghanbari Z, Ghaemi M, Shafiee A, Jelodarian P, Hosseini RS, Pouyamoghaddam S, et al. Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis. J Clin. 2022;1–31.
Grover S, Shouan A. Assessment Scales for Sexual Disorders—A Review. J Psychosexual Heal. 2020;2(2):121–38.
Sánchez-Sánchez B, Navarro-Brazález B, Arranz-Martín B, Sánchez- Méndez Ó, de la Rosa-Díaz I, Torres-Lacomba M. The Female Sexual Function Index: Transculturally Adaptation and Psychometric Validation in Spanish Women. Int J Environ Res Public Health. 2020;17(3):994.
DOI: http://dx.doi.org/10.24198/obgynia.v8i2.735
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