The Analysis Of Femal Sexual Function And Self-body Image Changes Before And After Pelvic Floor Reconstruction Surgery

ObjectiveTo evaluate the sexual function and body image of patients before and after pelvic floor reconstruction surgery,and the factors influencing sexual function after pelvic floor reconstruction surgery,in order to improve the satisfied rate of pelvic floor reconstruction surgery.Materials and methods1 Study objectThere were 138 patients selected who underwent surgery transvaginal mesh repair systems for pelvic floor reconstruction during Jun.2014 to jun.2016 in The Third Affiliated Hospital of Zhenzhou University,Patients with pelvic organ prolapse quantitation(Pelvic organ prolapse quantitive,POP-Q)were selected for degree>II,according to the principle of voluntary informed consent,of which 85 cases of complete clinical data and complete follow-up and completed the questionnaire.The average age was 55.41±6.88 years(35-68 years)?the average births of 2.07±0.97times(1-5 times).The patients with diseases were:7 cases of diabetes and 13 cases of hypertension.Pelvic organ prolapse according to POP-Q)staging:III degree prolapse in 80 cases,IV prolapse in 5 cases.2 Study analysisThe patients should completed the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire(PISQ-12)and The Modified Body Self-Image Scale(MBIS),Preoperative and postoperative 6 and 12 months patients comparing pre-and post-operative sexual function and body image scores,anlaysis wather the age,maternal history,whether menopause,resistance to stress urinary incontinence,removal of uterus,MBIS score improve or not,compare the factors that may affect sexual function after pelvic floor reconstruction surgery.3 Statistical analysisAll the data were analysised by SPSS 21.0.Measurement data was expressed as (?)±s.Paired t-test was used for comparison within the group.Count data were expressed as percentage(%),and?~2 test was used for comparison.?~2 test was used for categorical variables in single factor analysis.Multivariate analysis was performed using binary logistic regression analysis.P<0.05 was considered have statistically significant.Result1.The total MBIS score was 15.95±1.90 pre-reconstruction surgery,and the total MBIS scores at post-surgery 6 months and 12 months were 12.59±2.64 and12.83±3.92,respectively.The total MBIS scores decreased after surgery in 6 months and 12 months,and the difference was statistically significant(P<0.05).The total score at 12 months after MBIS was slightly higher than at 6 months after surgery,but the difference was not statistically significant(P>0.05).In the 6 months after surgery,the problems 1-8 were lower than those pre-surgery.The scores of questions 1,4,6,and 8 were lower than those pre-surgery,and the difference was statistically significant(P<0.05).The problems 2,3,5,and 7 were lower than those pre-surgery,but the differences were not significant(P>0.05).),The scores of 1,4,5,6,and 8after the surgery in December were lower than pre-operation,and the difference was statistically significant(P<0.05).The problems 2,3,and 7 were lower than pre-operation,the difference was not statistically significant.(P>0.05).2.The total score of PISQ-12 before pelvic floor reconstruction was 66.41±10.69.The total score of PISQ-12 at 6 months and 12 months after operation was68.17±8.52 and 70.45±5.11 respectively.The score of PISQ-12 in postoperative about 6 months was higher than that in preoperative,but the difference was not statistically significant(P>0.05).The total score of PISQ-12 in postoperative 12months was significantly higher than preoperative(P<0.05).The total score of postoperative 12 months was higher than that of postoperative 6 months,the difference was statistically significant(P<0.05).There was no significant difference in emotional factors and sexual partners between the two groups(P>0.05).There physiological physical factors were significantly increased(P<0.05).3.There was no significant difference in age and pregnancy between the sexual function improvement group and the non-improvement group after pelvic floor reconstruction(P>0.05).The parity,body mass index(BMI),and menopause status were higher in the sexual function improvement group than in the sexual function improvement group.Functional improvement group,the difference was statistically significant(P<0.05)?4.Influencing factors of sexual function menopause(?~2=4.381,P=0.036),birth weight(?~2=9.696,P=0.008),female self-body image(?~2=10.057,P=0.002),body mass index(?~2=6.101,P=0.047),hysterectomy or not(?~2=4.177,P=0.041)was significantly correlated with sexual function,but whether surgical treatment urinary incontinence was related with postoperative sexual function had no significant correlation(P=0.305).Multivariate logistic regression analysis the fewer births,the improvement of body image,and the hysterectomy was related to the change of postoperative sexual function.The results were as follows:fewer births(OR=0.375,P=0.008)?female self-body image improve(OR=0.224,P=0.006),hysterectomy(OR=0.298,P=0.026).Conclusion1.Pelvic floor reconstruction postoperative can improve femal self-body image evaluation.2.After 6 months of pelvic floor reconstruction surgery the sexual function of women not improve,the emotional factors and sexual partners may be the main reasonsthe sexual function improved after 1 year,and mainly for the improvement of physiological factors.3.Fewer births,female self-body image improve,hysterectomy are protective factors of sexual function after pelvic floor reconstruction surgery.