- Nour Sadat Kariman
 - - Department of Midwifery, Faculty of Nursing and Midwifery, Shaheed Beheshti University of Medical Sciences, Tehran, Iran
- Marzieh Tarverdi
- - Department of Midwifery, Faculty of Nursing & Midwifery, Maraghe Islamic Azad University, Maraghe, Iran
- Mahyar Azar
- - Department of Psychiatry, Faculty of Medicine, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran
- Hamid Alavimajd
- - Department of Biostatistics, Faculty of Paramedical, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Received: 7/1/2005 Accepted: 7/1/2005 - Publisher : Avicenna Research Institute |
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Abstract
Introduction: It is well known that most of marital and emotional problems are due to sexual dissatisfaction and igno-rance of human sexual instincts, which impose irreparable damage on social and marital relations and have destroyed family foundations. Therefore, an investigation on sexual satisfaction of the members of societies is necessary for improving sexual health. Physical and mental problems often result in sexual disorders, which pelvic relaxation is one of them. This disorder induces pelvic dysfunction that causes sexual dissatisfaction in couples. There have been few resear-ches on the effects of colporrhaphy on sexual satisfaction in Iran; therefore this research was conducted to answer the scientific hypothesis of whether colporrhaphy has an influence on women’s sexual satisfaction. Materials and Methods: This quasi-experimental study (before and after treatment) was carried out on 67 women with prolapse of pelvic organs who referred to Tabriz Medical University’s Educational Hospitals in the years 2003-2004. All of the subjects were married and had no previous histories of divorce, pelvic or breast surgeries, chronic diseases, addic-tion to narcotics or other problems resulting in sexual dysfunction. The last three mentioned items were considered for both subjects and their husbands. The subjects did not have urinary tract infections too. All the subjects had indication for colporrhaphy because of pelvic organs prolapses. All the operations were carried out by 4 surgeons following unique procedures for anterior, posterior or anteroposterior colporrhaphies. Sampling was non-random. The research data were collected through a sexual satisfaction questionnaire which its validity and reliability were tested by content validity and Alpha Cronbatch (r=0.89) test respectively. All the subjects had indication for colporrhaphy because of pelvic organs prolapses. All the operations were carried out by 4 surgeons following unique procedures for anterior, posterior or anteroposterior colporrhaphies. Sampling was non-random. The research data were collected before and 12-16 weeks after the operation and they were analyzed by employing Wilcoxon and McNemars statistical tests and a significance level of 5% (=0.05). Results: From the 60 women participating in the study who came back 12-16 weeks after surgery to be evaluated number of coitus per week, degree of sexual desire, number of orgasms experienced, and mental relaxation after coitus had been increased after the operation. The prevalence of vaginal dryness, pelvic cramps after coitus and dyspareunia were all decreased. The overall sexual satisfaction difference, based on PISQ and a 20- question sexual satisfaction questionnaire, was not statistically significant before and after the operations. Conclusion: Sexual satisfaction did not have any significant difference before and 3 months after the operation but sexual problems were improved. Therefore, colporrhaphy seems to have no positive effects on sexual satisfaction however, it should be mentioned that these results are valid for a three-month follow up and cases should be followed up 6-12 months after the operation too.
Keywords:
Colporrhaphy, Prolapse of pelvic organs, Cystocels, Rectocele, Cervical prolapse, Sexual satisfaction To cite this article:References
- اوحدي بهنام. تمايلات و رفتارهاي جنسي انسان. 1382، چاپ سوم. تهران، نشر آتروپات، صفحه: 85.
- شكر اللهي پيمانه. بررسي شيوع و برخي عوامل مستعد كننده فردي نارسائيهاي كنشي جنسي در خانمهاي مزدوج مراجعه كننده به مراكز بهداشت- درمان منتخب دانشگاه علوم پزشكي تهران. پايان نامه كارشناسي ارشد مامائي دانشگاه علوم پزشكي تهران. 1375.
- آذر ماهيار، نوحي سيما. راهنماي كاربردي درمان اختلالات عملكرد جنسي. چاپ اول. تهران، انتشارات معين، 1382، صفحات: 8-7.
- ساكي كوروش، بحرينيان سيد عبدالحميد. اختلال عملكرد جنسي در يك جمعيت جامعه ايراني. مجله غدد درون‌ريز و متابوليسم ايران. دانشگاه علوم پزشكي شهيد بهشتي. 1378. سال اول، شماره 4، صفحات: 295-291.
- هاشمي فرد اميراحمد. مسائل و اختلالات جنسي در زن و مرد. تهران. انتشارات چهر. 1371، صفحه 47.
- پور افكاري نصرت ا... . روانپزشكي علوم رفتاري– روانپزشكي باليني. چاپ اول. تهران. انتشارات شهر آب. 1379، صفحه 62.
- Okonkwo J.E., Obionu C.O., Obiechina N.J. Factors contributing to urinary incontinence and pelvic prolapse in Nigeria. Int J Gynecol Obstet.2001;74:301-303.
- Artibani W., Stuart L., Stanton D., Kumar R., Villet. Pelvic floor reconstruction. Urology.2002;42(1):1-11.
- Barder M., Visco A., Wyman J. Sexual function in women with urinary incontinence and pelvic organ prolapse. Obset Gynecol.2002;99(2):281-89.
- McLennan A.H. The prevalence of pelvic floor disor-ders and their relationship to gender, age, parity and mode of delivery. Bri J Obstet Gynecol.2000;(107): 1460-70.
- Scherf C. Morison L. Fiander A., et al. Epidemiology of pelvic organ prolapses in rural Gambia, West Afri-ca. Bri J Obstet Gynecol. 2002;(109):431-436.
- Shull B.l Pelvic organ prolapse: anterior and poste-rior vaginal segment defects. Am J Obstet Gynecol. 1999;181(1):6-11.
- Peters W.A Smith M.R., Drescher C.W. Rectal pro-lapse in women with other defects of pelvic support. Am J Obstet Gynecol.2001;184(7):1488-95.
- Weber A., Walters M., Piedmonte M. Sexual func-tion and vaginal anatomy in women before and after surgery for pelvic organ prolapse and urinary Incon-tinence. Am J of Obstet Gynecol. 2000;182(6):1610-5.
- Olsen A. Smith V.J. Bergstorm J.O. Colling J.C., et al. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89(4):501-506.
- Rogers R.G., Kammerer-Doak D., Darrow A., Mur-ray K., Olsen A., Barber M., Qualls C. Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study. Am J Obstet Gynecol.2004;191(1):206-10.
- Roovers J.P. Effects of genital prolapse surgery on sexuality.Http://www. vaginal prolapse & sexual func-tion.com.2003.
- Kahn M., Stanton S. Posterior Colporraphy: Its effects on bowel and sexual function. Bri J Obstet Gynecol.1997;104:82-86.