Fertility and sterility, 2010-11, Vol.94 (6), p.2272-2276
2010
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Details
- Autor(en) / Beteiligte
- Titel
- Psychosexual and functional outcomes after creation of a neovagina with laparoscopic Davydov in patients with vaginal agenesis
- Ist Teil von
- Fertility and sterility, 2010-11, Vol.94 (6), p.2272-2276
- Ort / Verlag
- New York, NY: Elsevier Inc
- Erscheinungsjahr
- 2010
- Quelle
- MEDLINE
- Beschreibungen/Notizen
- Objective To describe sexual function and satisfaction after laparoscopic Davydov vaginoplasty in patients with an absent vagina due to Mayer-Rokitansky-Kuster-Hauser syndrome or androgen insensitivity syndrome compared with a control female population. Design A descriptive study of standardized, validated psychosexual and functional outcomes using a self-report questionnaire. Setting Two tertiary care hospitals at an academic medical center. Patient(s) Six women with Mayer-Rokitansky-Kuster-Hauser syndrome or androgen insensitivity syndrome who underwent laparoscopic Davydov. Intervention(s) Patients postoperatively completed a self-report survey of their medical, surgical, and sexual history and the standardized, validated Female Sexual Function Index (FSFI) and select questions from the Golombok Rust Inventory of Sexual Satisfaction (GRISS). Main Outcome Measure(s) Total scores and domain scores (desire, arousal, lubrication, orgasm, pain, satisfaction) on the FSFI were compared with a published control population of women. Descriptive results of domain questions on the selected questions of the GRISS were identified. Result(s) Six patients, aged 20–52 years, returned the questionnaires. Responses to the modified GRISS are represented by visual frequency of response bar graphs. Compared with the control population, the patients' scores were lower for arousability, lubrication, orgasm, and comfort on the FSFI. Conclusion(s) Sexual function appears impaired in these six women who underwent laparoscopic Davydov as assessed by the FSFI. This may reflect characteristics of the patient population, as well as the inclusion of all patients' data even if they did not attempt vaginal intercourse in the previous month.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 0015-0282eISSN: 1556-5653DOI: 10.1016/j.fertnstert.2010.02.008Titel-ID: cdi_proquest_miscellaneous_761032796
- Format
- –
- Schlagworte
- 46, XX Disorders of Sex Development - psychology, 46, XX Disorders of Sex Development - rehabilitation, 46, XX Disorders of Sex Development - surgery, Abnormalities, Multiple - psychology, Abnormalities, Multiple - rehabilitation, Abnormalities, Multiple - surgery, Adult, androgen insensitivity syndrome, Androgen-Insensitivity Syndrome - psychology, Androgen-Insensitivity Syndrome - rehabilitation, Androgen-Insensitivity Syndrome - surgery, Biological and medical sciences, Congenital Abnormalities, Davydov, Digestive system. Abdomen, Endoscopy, Female, Follow-Up Studies, Gynecologic Surgical Procedures - psychology, Gynecologic Surgical Procedures - rehabilitation, Gynecology. Andrology. Obstetrics, Humans, Internal Medicine, Investigative techniques, diagnostic techniques (general aspects), Kidney - abnormalities, Laparoscopy - psychology, Laparoscopy - rehabilitation, Male, Mayer-Rokitansky-Kuster-Hauser syndrome, Medical sciences, Middle Aged, Mullerian Ducts - abnormalities, Müllerian agenesis, neovagina, Obstetrics and Gynecology, Postoperative Complications - epidemiology, Reconstructive Surgical Procedures - methods, Reconstructive Surgical Procedures - psychology, Reconstructive Surgical Procedures - rehabilitation, Sexual Behavior - physiology, Sexual Behavior - psychology, sexual function, Somites - abnormalities, Spine - abnormalities, surgical therapy, Surveys and Questionnaires, Treatment Outcome, Uterus - abnormalities, Uterus - surgery, Vagina - abnormalities, Vagina - surgery, vaginoplasty, Validation Studies as Topic, Young Adult