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Como sentirse satisfecha sexualmente

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More "Como sentirse satisfecha sexualmente" to follow soon. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Female urinary incontinence is a common problem in middle-aged women.

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The aim of this study is to evaluate sexual function before and after a urinary incontinence surgical procedure using tension-free vaginal tape TVT or transobturator tape TOT. The study included 22 women with a mean age of The median abdominal leak point pressure ALPP was Female sexual function assessed with the FSFI improved in all the aspects of the questionnaire.

The mean total FSFI score before surgery was Coital urinary incontinence improved in most of the women. Despite the evidence being variable as regards the outcomes in terms of sexual function after TVT and TOT, it is considered that these procedures substantially improve Como sentirse satisfecha sexualmente function in women with stress urinary incontinence.

La incontinencia urinaria femenina es un problema frecuente. Female urinary incontinence Como sentirse satisfecha sexualmente a frequent problem and affects many women worldwide.

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It is widely accepted that urinary incontinence has an adverse effect on the sexual function of women. This is explained by different mechanisms: The last two points are also frequent complaints of women with sexual dysfunction in the absence of urinary incontinence. Considering that female sexual dysfunction is caused by urinary incontinence, these techniques—in theory—should have a positive effect in the sexual area too.

However, the evidence to date is controversial, as some studies report that sexual function following anti-incontinence surgery has deteriorated, 6—8 while others evidence Como sentirse satisfecha sexualmente obvious improvement in sexual function after the surgical procedure.

The aim of this article is to determine whether female sexual function is positively or negatively affected by anti-incontinence surgery with tension-free vaginal tapes in women with stress urinary incontinence. The idea of this study was born as part of our clinical practice, since it is common in outpatient urology consultation that women, when the pathophysiology of stress urinary incontinence and how it might negatively affect sexual function is explained to them, show great interest in the postoperative outcomes and expected results in the sexual area.

Without any evidence in our country regarding the sexual function of women who underwent anti-incontinence surgery with tension-free tapes, it is difficult to make objective recommendations in our population. The study population consisted of 22 women diagnosed with stress urinary incontinence based on clinical history and urodynamic testing, who were considered, during the outpatient urology consultation, candidates for anti-incontinence surgery with TVT or TOT.

All patients underwent a preoperative evaluation that included physical examination, gynecological examination with assessment of pelvic organ prolapse POP-Q. Age, parity, body mass index, and clinical history were recorded, and they all underwent urodynamic study. This is a multicenter study that began recruiting patients in February and was concluded in December DESA in the city of Cali. The study was previously approved by the respective Ethics and Research Committees of the different health centers.

Surgical procedures were performed by professors of the Urology and Gynecology Unit of each of the departments with the surgical technique that has been standardized for several years, without any modification.

Patients were divided into two groups according to pre-established criteria for using the transobturator or transvaginal technique. Patients were invited to participate in the study after a clear explanation of its characteristics, risks, and benefits, through an agreement to participate.

The inclusion criteria of the study were reviewed: Women with evidence of intrinsic sphincter deficiency defined as ALPP less Como sentirse satisfecha sexualmente 60 cm H 2 O with little or no urethral mobility were excluded, as well as patients with Como sentirse satisfecha sexualmente high probability of loss to follow-up or with low engagement located in rural areaspatients presenting with pregnancy, coagulopathies, or mental deficiencies that prevented understanding the conditions and objectives of the program, and those who declared that they did not want to participate in the study.

Patients were summoned on the day of the surgery according to the schedule of activities. Demographic data were recorded and a follow-up sheet was created for each patient. This questionnaire consists of 19 questions that evaluate six domains: Each question has 5 or 6 answer options, with a score ranging from 0 to 5. The sum of the scores of each domain is multiplied by a factor and the final score is the arithmetic sum of the domains: The total score ranges from 2 to 36 Table 1.

This questionnaire had to be completed before the procedure. Postoperative control was done at 8 days and patients were recommended to resume sexual activity at least 3 weeks after the procedure. Control was carried out at 3 and 6 months after the surgery with the FSFI questionnaire and with a questionnaire designed by the group of researchers that included 7 questions assessing urinary incontinence, urine leakage during intercourse, the quality of life in the sexual area, and satisfaction with the surgical procedure.

For data analysis, nonparametric statistics were used by applying the Wilcoxon signed-rank test, which is used to compare the median of two related samples and to determine the degree of difference between them. A total of 22 sexually active women with stress urinary incontinence were treated with tension-free vaginal tape: All 22 patients completed both the FSFI questionnaire and the questionnaire designed by the group of researchers.

The demographic variables of the population Como sentirse satisfecha sexualmente described in Table 2. Among the variables, it is worth highlighting age, which was Patients with intrinsic sphincter deficiency, as well as sexually inactive women were excluded. FSFI showed an improvement in female sexual function in all domains when comparing Como sentirse satisfecha sexualmente and postoperative scores at 3 and 6 months after surgery.

The total score of preoperative FSFI was One of these patients reported that her main problem was not connected to urine leakage, but it was related to vaginal lubrication, which significantly deteriorated the quality of sexual intercourse and the female sexual function score in FSFI Table 3.

The questionnaire developed by the group of researchers evaluated urinary continence, urine leakage during sexual intercourse, and overall satisfaction with surgery. We found that, despite surgery, 2 patients persisted with involuntary loss of urine at 3 and 6 months after the procedure; one patient achieved continence at 3 months, but at 6 months after surgery she presented again with stress incontinence; the other patient persisted with incontinence Como sentirse satisfecha sexualmente 3 "Como sentirse satisfecha sexualmente" after surgery, but at the Como sentirse satisfecha sexualmente follow-up she no longer had involuntary leakage of urine.

Demographic and clinical variables. A systematic review and a meta-analysis described that urinary leakage during coitus is significantly reduced after anti-incontinence surgery, concluding that in these patients the probability of improving their sexual function increases 2—3 times, while half of the women do not show any change in their sexuality.

There is no difference in the improvement in terms of sexual function when comparing TVT vs. TOT; they establish, however, that the quality of the studies is not very good due to the heterogeneity of the populations, the use of unvalidated questionnaires, and the separation of the outcomes of interest from the functional results of the surgery.

For these reasons, they recommend that, in advising women with sexual dysfunction who will undergo anti-incontinence surgery, it should be made clear that urine leakage during intercourse usually improves, whereas sexual function in general may remain the same, or there is a limited possibility that it will improve or worsen.

There are several studies that have evaluated sexual function before and after anti-incontinence surgery with tension-free vaginal tapes. They reported that the sexual function improved in The overall PISQ score increased from On the other hand, there are studies that have described a significant deterioration in sexual Como sentirse satisfecha sexualmente after surgery with tension-free vaginal tapes.

Among these, a prospective study evaluated 55 women with stress urinary incontinence who were treated with anti-incontinence surgery using the TOT technique, with a follow-up at 6 months after procedure. FSFI was used to evaluate female sexual function, which is the same questionnaire we used in our study.

Una mujer puede sentirse motivada...

They found that the FSFI score increased in 31 patients Before surgery, 12 patients Three patients had recurrence of stress urinary incontinence after surgery. There was a substantial improvement in the UDI-6 and IIQ-7 scores and they recommend that during pre-operative counseling women should not be promised that their sexual function will improve.

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Anti-incontinence surgery with TOT and "Como sentirse satisfecha sexualmente" improves urinary symptomatology and involuntary leakage of urine, while also significantly improving female sexual function and preventing urinary leakage during intercourse, which is very common in these patients.

In our study we observed that in all domains of the FSFI desire, arousal, lubrication, orgasm, satisfaction, and painthe score obtained at 3 and 6 months after procedure was considerably higher.

Su salud sexual

Arousal went from 3. In the latter domain, it should be clarified that higher scores mean less pain during sexual intercourse. Regarding satisfaction with surgery, most patients were satisfied with the procedure and only one patient was unsatisfied, but due to reasons unconnected to the surgery.

We believe that during preoperative counseling it can be explained to patients that anti-incontinence surgery with tension-free vaginal tapes for stress urinary incontinence improves involuntary urine leakage, coital urinary leakage, and female sexual function in all the domains at 3 and 6 months after the procedure.

We recommend, however, conducting further research with a larger sample and adding validated questionnaires to assess urinary incontinence before and after surgery. The authors declare that no experiments were performed on humans or animals for this study. The authors declare that no patient data appear in this article. The authors have no conflict of interest to declare. Scopus See more Follow us: Discontinued publication For more information click here.

Previous article Next article. January - April Pages Female sexual function associated with the use of tension free vaginal tape for stress urinary incontinence.

This item has received. Show more Show less. Introduction Female urinary incontinence is a common problem in middle-aged Como sentirse satisfecha sexualmente. The aim of this study is to evaluate sexual function before and after a urinary incontinence surgical procedure using tension-free vaginal tape TVT or transobturator tape TOT. Results The study included 22 women with a mean age of Despite the evidence being variable as regards the outcomes in terms of sexual function after TVT and TOT, it is considered that these procedures substantially improve sexual function in women with stress urinary incontinence.

Introduction Female Como sentirse satisfecha sexualmente incontinence is a frequent problem and affects many women worldwide. The aim of this article is to determine whether female sexual function is positively or negatively affected by anti-incontinence surgery with tension-free vaginal tapes in women with stress urinary incontinence. Methods and materials The idea of this study was born as part of our clinical practice, since it is common in outpatient urology consultation that women, when the pathophysiology of stress urinary incontinence and how it might Como sentirse satisfecha sexualmente affect sexual function is explained to them, show great interest in the postoperative outcomes and expected results in the sexual area.

Without any evidence in our country regarding the sexual function of women who underwent anti-incontinence surgery with tension-free tapes, it is difficult to make objective recommendations in our population. Surgical procedures were performed by professors of the Urology and Gynecology Unit of each of the departments with the surgical technique that has been standardized for several years, without any modification. Women with evidence of intrinsic sphincter deficiency defined as ALPP less than 60 cm H 2 O with little or no urethral mobility were excluded, as well as patients with a high probability of loss to follow-up or with low engagement located in rural areaspatients presenting with pregnancy, coagulopathies, or mental deficiencies that prevented understanding the conditions and objectives of the program, and those who declared that they did not want to participate in the study.

Control was carried out at 3 and 6 months after the surgery with the FSFI questionnaire and with a questionnaire designed by the group of researchers that included 7 questions assessing urinary incontinence, Como sentirse satisfecha sexualmente leakage during intercourse, the quality of life in the sexual area, and satisfaction with the surgical procedure.

Cuando el hyo no logra satisfacer sus demandas, el padre puede sentirse además de satisfacer las necesidades emocionales y sexuales del padre. Mientras de que todas las necesidades de la familia han de ser satisfechas en su seno. este sexo casual y recrimina, para peor, más a la mujer en esta práctica – me dijo. sexuales después de haber conocido a su varón, quedarse satisfecha y despecho o normalmente, porque en ese momento les gusta sentirse un reviente.

adolescentes se encontraban bastante satisfechas con el apoyo social recibido y que las principales figuras citadas fueron la significativa na idade da iniciação sexual dos jovens e.

que recebem este tipo de apoio podem sentir-se mais.

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