Pelvik taban cerrahisinin cinsel işlev ve yaşam kalitesi üzerindeki etkisinin analizi

This article was retracted on December 27, 2025. https://dergipark.org.tr/en/pub/jompac/article/1850206

Abstract

Özet Amaç: Pelvik taban cerrahisi, kadınlar için önemli bir sağlık sorunu olan pelvik organ prolapsusu (POP) ve stres üriner inkontinans (SUI) gibi hastalıkların tedavisi için yapılan bir dizi ameliyattır. Ancak, pelvik taban cerrahisi sonrası yapılan çalışmalar, cinsel işlev üzerindeki etkisine ilişkin çelişkili sonuçlar ortaya koymaktadır; genel iyileşmeden hiçbir değişiklik olmamasına, hatta kötüleşmeye kadar değişen sonuçlar elde edilmiştir. Bu nedenle, bu çalışma POP veya SUI nedeniyle ameliyat geçiren hastalarda cerrahinin cinsel işlev ve yaşam kalitesi üzerindeki etkisini araştırmayı amaçlamıştır. Yöntem: Bu çalışma prospektif bir kohort çalışması olarak tasarlanmış ve POP veya SUI nedeniyle ameliyat geçiren hastaları içermektedir. Ameliyat öncesi dönemde, POP derecesini belirlemek için POP-Q ölçümleri, idrar kaçırma ve SUI'yi değerlendirmek için ise ürodinamik testler kullanılmıştır. Ayrıca, yaşam kalitesini değerlendirmek için PFID-20 ve PFIQ-7, aşırı aktif mesane semptomatolojisini değerlendirmek için OAB-V8 ve cinsel fonksiyonu değerlendirmek için PISQ-12 kullanılmıştır. Ameliyat sonrası dönemde, yaşam kalitesi ve cinsel fonksiyon ölçekleri 6 aylık aralıklarla (6, 12 ve 18 ay) yeniden uygulanmıştır. Sonuçlar: Nisan 2014 ile Ocak 2016 arasında toplam 50 hasta çalışmaya dahil edildi ve ortalama yaş 53,46 (±9,41) idi. PFID-20, PFIQ-7 ve OAB ölçek analizleri incelendiğinde, 6, 12 ve 18. aylarda istatistiksel olarak anlamlı bir fark bulundu. PISQ-12 ölçeği analizleri incelendiğinde, 6. ayda istatistiksel olarak anlamlı bir fark bulunmamıştır; ancak, 12. ve 18. aylarda PISQ-12 fiziksel ölçeğinin PISQ-12 alt ölçeği analizinde anlamlı bir fark bulunmuştur (sırasıyla p = 0,086, 0,004, 0,009). Sonuç: POP veya SUI nedeniyle pelvik organ cerrahisi geçiren hastalar, ameliyat sonrası cinsel işlev ve yaşam kalitesinde olumlu etkiler yaşayabilirler.

Keywords

• Pelvik taban cerrahisi
• Cinsel işlev
• Yaşam kalitesi

Analysis of the effect of pelvic floor surgery on sexual function and quality of life

This article was retracted on December 27, 2025. https://dergipark.org.tr/en/pub/jompac/article/1850206

Abstract

Aims: Pelvic floor surgery is a set of surgeries for the treatment of diseases such as pelvic organ prolapse (POP) and stress urinary incontinence (SUI), which constitute a significant health burden for women. However, studies following pelvic floor surgery show conflicting results regarding the effect on sexual function, ranging from overall improvement to no change or even deterioration. The present study therefore aimed to investigate the effect of surgery on sexual function and quality of life in patients undergoing surgery for POP or SUI. Methods: The present study was designed as a prospective cohort study and included patients who had undergone surgery for POP or SUI. In preoperative period, POP-Q measurements were used to grade POP, while urodynamic testing was used to assess urge and SUI. In addition, PFID-20 and PFIQ-7 were used to assess quality of life, OAB-V8 to assess overactive bladder symptomatology and PISQ-12 to assess sexual function. In the postoperative period, the quality of life and sexual function scales were re-administered at 6-month intervals (6, 12 and 18 months). Results: A total of 50 patients were included in the study between April 2014 and January 2016, with a mean age of 53.46 years (±9.41 years). When PFID-20, PFIQ-7 and OAB scale analyses were examined, a statistically significant difference was found at 6, 12 and 18 months. When the PISQ-12 scale analyses were examined, no statistically significant difference was found in the 6th month; however, a significant difference was found in the PISQ-12 subscale analysis of the PISQ-12 physical scale in the 12th and 18th months (p=0.086, 0.004, 0.009, respectively). Conclusion: Patients undergoing pelvic organ surgery for POP or SUI may experience favourable effects on sexual function and quality of life post-surgery.

Keywords

• Pelvic floor surgery
• sexuel function
• quality of life

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