Zehra KORKUT, Emine TÜREN DEMİR, Şeyda TOPRAK ÇELENAY

Pelvik organ prolapsusu olan kadınlarda pelvik taban kas fonksiyonları ile prolapsus semptomları ve cinsel fonksiyon arasındaki ilişki: pilot çalışma

Amaç: Pelvik organ prolapsusu (POP) olan kadınlarda pelvik taban kas (PTK) fonksiyonları ile prolapsus semptomları ve cinsel fonksiyon arasındaki ilişkiyi incelemekti.Yöntem: Çalışmaya POP’u olan 22 kadın (yaş=42,77±6,25 yıl, vücut kütle indeksi=26,72±4,37 kg/m2) alındı. Fiziksel, demografik ve medikal özellikleri kaydedildi. PTK kuvvet ve enduransı perineometre cihazı ile, POP evrelendirmesi Basitleştirilmiş POP-Sınıflandırma Sistemi ile, prolapsus semptomları Pelvik Organ Prolapsus Semptom Skoru (POP-SS) ile, cinsel fonksiyon Pelvik Organ Prolapsus/Üriner İnkontinans Cinsel Fonksiyon Anketi (PISQ-12) ile değerlendirildi. İstatiksel analiz için Spearman korelasyon testi kullanıldı.Bulgular: POP’lu kadınlarda PTK kuvveti ile POP-SS (p=0,027; rho=-0,470) arasında negatif yönde orta dereceli bir ilişki; PTK enduransı ile PISQ-12 skorları (p=0,035; rho=0,452) arasında pozitif yönde orta derecede bir ilişki olduğu bulundu. PTK kuvveti ile PISQ-12 skoru (p=0,382; rho=0,196) ve PTK enduransı ile POP-SS (p=0,399; rho=-0,189) arasında anlamlı bir ilişki olmadığı saptandı.Sonuç: Bu çalışmada POP’lu kadınlarda PTK kuvveti ile prolapsus semptom şiddeti arasında negatif yönde, PTK enduransı ile cinsel fonksiyon arasında pozitif yönde bir ilişki tespit edildi. Kliniklerde POP’lu kadınlarda PTK fonksiyonları ile prolapsus semptom şiddeti ve cinsel fonksiyon arasındaki ilişkinin dikkate alınması önemli olabilir.

Anahtar Kelimeler:

Pelvik Organ Prolapsusu, Pelvik Taban Kasları, Seksüel sağlık

Relationship between pelvic floor muscle functions and prolapse symptoms and sexual function in women with pelvic organ prolapse: a pilot study

Purpose: To examine the relationship between pelvic floor muscle (PFM) function, prolapse symptoms and sexual function in women with pelvic organ prolapse (POP).Methods: Twenty-two women with POP (age=42.77±6.25 years, body mass index=26.72±4.37 kg/m2) were included in the study. The physical, demographic, and medical characteristics were recorded. PFM strength and endurance with perineometer device, POP staging with simplified POP- Quantification System, prolapse symptoms with Pelvic Organ Prolapse Symptom Score (POP-SS), sexual function with Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12) were evaluated. Spearman correlation test was used for statistical analysis.Results: In women with POP, it was found that there was a moderate negative correlation between the PFM strength and the POP-SS (p=0.027; rho=-0.470) and a moderate positive correlation between the PFM endurance and the PISQ-12 scores (p=0.035; rho=0.452). No significant correlation was determined between the PFM strength and the PISQ-12 score (p=0.382; rho=0.196), and between the PFM endurance and the POP-SS (p=0.399; rho=-0.189).Conclusion: In this study, it was detected a negative relationship between the PFM strength and prolapse symptom severity, and a positive relationship between the PFM endurance and sexual function in women with POP. In clinical settings, it may be important to consider the relationship between PFM functions and prolapse symptom severity and sexual function in women with POP.

Keywords:

Pelvic Organ Prolapse, Pelvic Floor Muscles, Sexual health,

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