Pelvic organ prolapse burden on sexual health and body image: a cross-sectional study
Notice bibliographique
Résumé
Abstract Background Pelvic organ prolapse (POP) is common and can affect sexual health and body image. Sexual concerns of non-sexually active (NSA) females with POP have been poorly described. Aim To describe the burden of POP and explore associations between sexual function and body image in all patients seeking surgery. Methods Secondary analysis of a baseline patient cohort, randomized controlled trial (RCT) of 2 POP reconstructive surgeries at 5 urogynecology tertiary centers. We present baseline sexual activity, function, and sex-related affect and body image. Patients scheduled for POP surgery completed validated condition-specific questionnaires of sexual function, body image, demographics, POP burden, and medical comorbidities. We used descriptive statistics and appropriate tests of significance. Outcomes Differences between sexually active (SA) and NSA patients in POP-specific sexual function and body image; associations between body image and impaired sexual function. Results Of 181 patients, 86 (47.5%) were SA, with a mean (SD) of age 62 (11.1). SA patients were younger, with fewer comorbidities. 30/86 (35%) had clinically significant sexual function impairment. Reasons for being NSA included pelvic symptoms (69.1%), lack of interest (53.8%), and lack of partner (40.5%). Frustration, sexual inferiority, and anger were similar between NSA and SA patients. NSA patients have 5 times the odds of avoiding sexual activity because of fear of pelvic symptoms; twice the odds of being more dissatisfied and twice the odds of feeling more inadequate in their sex life than SA patients. (P < .05, unadjusted and adjusted analyses). A total of 171 patients (80% partnered) had similar body image scores between SA and NSA patients. Partnered NSA patients were more likely than SA to avoid sexual intimacy because of POP, aOR 2.35 (95% CI, 1.03-5.33). Patients who had clinically significant POP-related impairment of sexual function had significantly worse body image (P < .001). Clinical Implications Patients with clinically bothersome POP have significant sexual concerns. Body image was similarly affected regardless of sexual activity. Perceived partner avoidance of intimacy was a common barrier. This is an opportunity for tailored sexual health individual and couples counseling. Strengths and Limitations Our findings apply to many surgical POP patients regardless of partner or sexual activity status. Limitations include missing data, no validated measure of sexual distress, and no evaluation of partner sexual function. Conclusion The burden of POP-related sexual dysfunction and corresponding poor body image is substantial in both SA and NSA patients awaiting POP surgery. In the preoperative assessment of POP, sexual health and body image questions should be routinely included.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».