文档介绍：上海交通大学医学院硕士学位论文-5-存在吊带或网带及性伴不适症状术后与术前相比差异无统计学意义。术后HRQOL较术前显著改善(P<),术后12~84个月与术后6~12个月相比无进一步变化(P>)。未发现HRQOL与性功能之间存在关系。因尿道狭窄接受尿道重建术的6例患者中,仅1例患者自觉术后性功能受损。结论接受抗SUI或POP术的患者中,大多数(40,%)术后性功能未受损,***干燥为导致患者自觉术后性功能下降的主要因素,术后***中漏尿显著改善。HRQOL与性功能之间未发现存在关系。术后12~84个月患者性功能及HRQOL无进一步变化。关键词女性性功能,健康相关生活质量(HRQOL),压力性尿失禁(SUI),盆底器官脱垂(POP),尿道狭窄, 尿道成形术上海交通大学医学院硕士学位论文-6-SEXUAL FUNCTION AND HEALTH-RELATED QUALITYOF LIFE FOLLOWING ANTERIOR VAGINAL WALLSURGERYAND URETHROPLASITY FOR SUI AND POPABSTRACTObjective To assess the effect of anterior vaginal wall surgery andurethroplasityon femalesexual function, HRQOL and the associationbetween themover extended periods study population consisted of 109 patients(mean age, ) who underwentanterior vaginalsurgery for the treatment of SUIand/or POPbetween January 2000 andJanuary 2007. The ModifiedLemack Questionnaire and Pelvic Floor Distress Inventory were provided to patients three months prior to, 6-12 monthsand 12-84 monthspostoperatively following the surgery. 30 patients who had urethroplasity for traumatic urrthral stricturebetween January1996 andJanuary 2007 were involved. Among them, 6 patients who had sexual life both before and after 上海交通大学医学院硕士学位论文-7-the operation were included in this the patients who had surgeryfor SUI or POP,sixty-one (%) of them were sexually active before and after the operation. Of this sub-group, 12 (%) reported an improvement in overall intercoursesatisfaction,21(%) described decreased satisfaction and 28(%) were unchanged, no further significant alteration was observed 12-48 months drynessand asymptomatic vaginal narrowing increased significantly following the surgery, while the incidence ofcoital incontinence decreasedsignificantly. There were no statistically significant differences inthe frequency ofintercourse, patients’perception of intercourse, frequency asm and the importance of sex fort remaineduncha