Detection and Treatment of Sexual Dysfunction after Total Hysterectomy*
Author:WANG Kang, LI Huan, HU Yan, et al.
affiliation:Clinical College of Peking University Shenzhen Hospital, Anhui Medical University, Shenzhen 518036, Guangdong Province, China
PDFAbstract
Objective The sexual function status of the patients after total hysterectomy was examined by a variety of different methods, examined again after electrical stimulation treatment ,to evaluate the efficacy of electrical stimulation therapy for sexual dysfunction. Methods A total of 61 women after hysterectomy admitted to gynecology of Peking University Shenzhen Hospital from February 2016 to February 2017 were selected, and randomly divided into two groups. All patients were tested at three months postoperatively. Three months after surgery, 31 patients in intervention group accepted electrical stimulation combined with biofeedback therapy and 30 patients in control group accepted routine care. After the therapy, tested all patients. The results of two groups of patients were compared. Results ①In the intervention group, 13 cases (41.9%) were positive for the test of the cotton swab test before treatment, 16 cases (53.3%) were positive in the control group. There was no significant difference between the two groups(P>0.05).②Before treatment, the averageInitial electromyography in intervention group were (7.68±4.28)uV and in control group were (7.77±3.14)uV. There was no significant difference between the two groups(P>0.05).③Before treatment,the averagescore of Sexual response pattern establishment test in intervention group were 74.03±14.37 and in control group were (73.60±9.19). There was no significant difference between the two groups(P>0.05).④After treatment,27 cases (87.1%) were positive for the test of the cotton swab test in the intervention group, 19 cases (63.3%) were positive in the control group. There was significant difference between the two groups(P<0.05).⑤After treatment, the averageInitial electromyography in intervention group were (11.97±6.71) uV and in control group were (7.90±3.74)uV. There was significant difference between the two groups(P<0.05).⑥After treatment,the averagescore of Sexual response pattern establishment test in intervention group were (83.65±5.65) and in control group were (71.23±8.21). There was significant difference between the two groups(P<0.05). Conclusion Electrical stimulation combined with biofeedback therapy can significantly improve the pelvic floor muscle strength of patients after total hysterectomy, reducing the occurrence of sexual dysfunction.
【Keyword】Sexual Dysfunction; Sexual Function Testing; Electrical Stimulation; Total Hysterectomy
【Chart number】R713.4+2
【Document Identification Number】A
【DOI】10.3969/j.issn.1009-3257.2017.02.018
Journal of Rare Diseases
th24Volume, th 2 Issue
2019Year11Month
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