Sexual response in patients treated with sacral neuromodulation for lower urinary tract symptoms or fecal incontinence.
Urol Int
; 88(4): 423-30, 2012.
Article
em En
| MEDLINE
| ID: mdl-22538447
ABSTRACT
OBJECTIVES:
To determine whether sacral neuromodulation (SNM) for urinary symptoms or fecal incontinence gives improvement of female sexual function and whether improvement is due to physiological or psychological factors.METHODS:
Between 2002 and 2008, 8 patients had an array of questionnaires before and after SNM implantation. The questionnaires were the Questionnaire for Screening for Sexual Dysfunctions, the Golombok Rust Inventory of Sexual Satisfaction, the Symptom Checklist-90, the Maudsley Marital Questionnaire and the McGill-Mah Orgasm Questionnaire. Three of these 8 patients underwent vaginal plethysmography before and after implantation.RESULTS:
No statistically significant changes were found, although there seems to be a trend toward improvement in orgasm scores. In plethysmography all 3 patients showed increased vaginal pulse amplitude with the stimulator turned on with both erotic and non-erotic stimuli.CONCLUSIONS:
This study does not show a clear effect of SNM on sexual function, although there seems to be an improvement in orgasm scores. The lack of response on psychological questionnaires and the increase in vaginal pulse amplitude after SNM implantation indicate that there might be a physiological response.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Sacro
/
Comportamento Sexual
/
Disfunções Sexuais Fisiológicas
/
Vagina
/
Terapia por Estimulação Elétrica
/
Incontinência Fecal
/
Sintomas do Trato Urinário Inferior
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Urol Int
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Holanda