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Pelvic Organ Prolapse and Its Effects on Sexual Life

Yıl 2018, Cilt: 26 Sayı: 3, 211 - 218, 26.10.2018

Gamze Fışkın Nezihe Kızılkaya Beji

Öz

Pelvic organ prolapse is a biopsychosocial health problem that affects nearly half of the women on average. This health problem leads to aesthetic concerns, physiological and psychological problems, dyspareunia, and issues of sexual desire, arousal, and orgasm. The aim of this review is to present the effects of pelvic organ prolapse on sexual life. The specialist midwife/nurse is well placed to contribute to the initial assessment, management, and ongoing support of women with prolapse. A conservative or surgical treatment method is preferred according to the detailed history taken by the midwife/nurse and the physical examination and diagnostic tests performed by the physician for the women who present with complaints of pelvic organ prolapse. While more research on kegel exercise is needed in women treated conservatively, it has been reported that pessary use was preferred at older ages because it increases the frequency and satisfaction levels of sexual activity, improves lubrication after treatment, and produces favorable effects. In most of the studies that performed surgical methods, surgical operations were found to increase body image satisfaction and feeling of charm but did not cause a significant improvement in sexual function. It is also important that the specialist midwives/nurses provide psychological support, education, and counseling to the woman and her family and suggestions on sexual life during all these diagnoses and treatments. Negatively affected sexual function in women with pelvic organ prolapse should be evaluated carefully and problems should be resolved correctly.


Anahtar Kelimeler

Pelvic organ prolapse sexual life surgical treatment conservative treatment

Kaynakça

  • Arnouk, A., De, E., Rehfuss, A., Cappadocia, C., Dickson, S., & Lian, F. (2017). Physical, complementary, and alternative medicine in the treatment of pelvic floor disorders. Current Urology Reports, 18(47), 1–13.
  • Balsak, D., Uysal, A., Cavus, Y., Ince, Z., Acar, Z., Güngör, A., & Hacıvelioğlu, S. (2013). Treatment of vaginal cuff prolapses with posterior intravaginal sling and evaluation of efficiency with international consultation on incontinence questionnaire—vaginal symptoms method in the long term: Preliminary results. LUTS: Lower Urinary Tract Symptoms, 5(3), 140–144.
  • Bilgiç, D., Kızılkaya-Beji, N. ve Yalçın Ö. (2012). Ürojinekoloji hastalarında cinsel fonksiyonun değerlendirilmesi. Türk Jinekoloji ve Obstetrik Derneği Dergisi, 9(3), 142–152.
  • Bilgiç-Çelik, D. ve Kızılkaya-Beji, N. (2012). Pelvik taban fonksiyon bozuklukları ve yaşam kalitesi. Florence Nightingale Hemşirelik Dergisi, 20(1), 69–79.
  • Brækken, I. H., Majida, M., Engh, M. Ei., & Bø, A. (2015). Can pelvic floor muscle training improve sexual function in women with pelvic organ prolapse? A randomized controlled trial. The Journal of Sexual Medicine, 12(2), 470–480.
  • Bø, K. (2012). Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction.World Journal of Urology, 30(4), 437–443.
  • Costantini, E., Porena M., Lazzeri, M., Mearini, L., Bini, V., & Zucchi, A. (2013). Changes in female sexual function after pelvic organ prolapse repair: Role of hysterectomy. International Urogynecology Journal, 24(9), 1481–1487.
  • Culligan, P. J. (2012). Nonsurgical management of pelvic organ prolapse. Obstetrics & Gynecology, 119(4), 852–860.
  • Dalpiaz, O., Kerschbaumer, A., Mitterberger, M., Pinggera, G. M., Colleselli, D., Bartsch, G., & Strasser, H. (2008). Female sexual dysfunction: A new urogynaecological research field. BJU International, 101(6), 717–721.
  • Dawson, M. D., Rinko, R. C., Shah, N. M., & Whitmore, K. E. (2017). The Impact of pelvic reconstructive surgery for pelvic organ prolapse and urinary ıncontinence on female sexual dysfunction: A Review. JSM Sexual Medicine, 2(1), 1006–1014.
  • De Albuquerque Coelho, S. C., de Castro, E. B., & Juliato, C. R. T. (2016). Female pelvic organ prolapse using pessaries: Systematic review. International Urogynecology Journal, 27(12), 1797–1803.
  • Demirci, N., Ataman, H., Aba, Y. A., Başar, F. ve Özkan, F. (2013). Pelvik organ prolapsusu/üriner inkontinans ile ilişkili şikayetlerin kadınların cinsel fonksiyonuna etkisi. Zeynep Kamil Tıp Bülteni, 44(2), 58–64.
  • Dwyer, L., & Kearney, R. (2017). Conservative management of pelvic organ prolapse. Obstetrics, Gynaecology & Reproductive Medicine, 28(1), 15–21.
  • El-Begway, A. F., Elshamy, F. F., & Hanfy, H. M. (2010). The effect of pelvic floor exercices on sexual function after vaginal delivery. The Medical Journal of Cairo University, 78(2), 37–31.
  • Feldner, P. C., Delroy, C. A., Martins, S. B., Castro, R. A., Sartori, M., & Girao, M. (2012). Sexual function after anterior vaginal wall prolapse surgery. Clinics, 67(8), 871–875.
  • Golmakani, N., Zare, Z., Khadem, N., Shareh, H., & Shakeri, M. T. (2015). The effect of pelvic floor muscle exercises program on sexual self-efficacy in primiparous women after delivery. Iranian Journal of Nursing and Midwifery Research, 20(3), 347–353.
  • Hagen, S., & Stark, D. (2011). Conservative prevention and management of pelvic organ prolapse in women. Cochrane Library: Cochrane Reviews, 7(12), 1–4.
  • Handa, V. L., Whitcomb, E., Weidner, A. C., Nygaard, I., Brubaker, L., Bradley, C. S. … Richter, H. E. (2011). Sexual function before and after non-surgical treatment for stress urinary incontinence. Female Pelvic Medicine & Reconstructive Surgery, 17(1), 30–35.
  • International Urogynecological Association. (2011). Anterior vaginal repair (bladder repair). http://thepelvicfloorsociety.co.uk/budcms/includes/kcfinder/upload/files/eng_antvwrepair.pdf.
  • Jurczak, I., & Chrzęszczyk, M. (2016). The impact assessment of pelvic floor exercises to reduce symptoms and quality of life of women with stress urinary incontinence. Journal: Pol Merkur Lekarski, 40(237), 168–172.
  • Karapanos, L., Salem, J., Akbarov, I., Heidenreich, A., & Zugor, V. (2018). Surgical treatment of pelvic organ prolapse. Aktuelle Urol, 49(1), 52–59.
  • Kariman, N. S., Tarverdi, M., Azar, M., & Alavimajd, H. (2005). Evaluating the effects of colporrhaphy on the sexual satisfaction of women. Journal of Reproduction & Infertility, 6(3), 254–260.
  • Kılıç, M., Ejder-Apay, S. ve Kızılkaya-Beji, N. (2011). Pelvik organ prolapsusu sonucu gelişen cinsel fonksiyon bozuklukları ve hemşirelik yaklaşımları. Florence Nightingale Hemşirelik Dergisi, 19(3), 194–202.
  • Ko, Y. C., Yoo, E. H., Han, G. H., & Kim, Y. M. (2017). Comparison of sexual function between sacrocolpopexy and sacrocervicopexy. Obstetrics & Gynecology Science, 60(2), 207–212.
  • Korğalı, E. ve Ayan, S. (2011). Pelvik organ prolapsusunda temel değerlendirme yöntemleri. Kadın ve İşlevsel Üroloji Bülteni, 1(2), 9–12.
  • Lamers, B. H. C., Broekman, B. M. W., & Milani, A. L. (2011). Pessary treatment for pelvic organ prolapse and health-related quality of life: A review. International Urogynecology Journal, 22(6), 637–644.
  • Lonnée-Hoffmann, R., & Pinas, İ. (2014). Effects of hysterectomy on sexual function. Current Sexual Health Reports, 6(4), 244–251.
  • Lowenstein, L., Pierce, K., & Pauls, R. (2009). Urogynecology and sexual function research. How are we doing? The Journal of Sexual Medicine, 6(1), 199–204.
  • Maher, C., Feiner, B., Baessler, K., & Schmid, C. (2013). Surgical management of pelvic organ prolapse in women. Cochrane Database of Systematic Reviews, 7(12), 1–341.
  • Masenga, G. G., Shayo, B. C., & Rasch, V. (2018). Prevalence and risk factors for pelvic organ prolapse in Kilimanjaro, Tanzania: A population based study in Tanzanian rural community. PloS one, 13(4), e0195910.
  • Meriwether, K. V., Komesu, Y. M., Craig, E. C., Qualls, C., Davis, H. T., & Rogers, R. G. (2015). Sexual function and pessary management among women using a pessary for pelvic floor disorders. The Journal of Sexual Medicine, 12(12), 2339–2349.
  • Meriwether, K., Anthos, D. D., Olivera, C. K., Kim-Fine, S., Balk, M. E., Murphy, M. … Rahn, D. D. (2018). Uterine preservation versus hysterectomy in pelvic organ prolapse surgery: A systematic review with meta-analysis and clinical practice guidelines. American Journal of Obstetrics And Gynecology, 219(2), 1–20.
  • Mohktar, M. S., Ibrahim, F., Rozi, N. F. M., Yusof, J. M., Ahmad, S. A., Yen, K. S., & Omar, S. Z. (2013). A quantitative approach to measure women’s sexual function using electromyography: A preliminary study of the Kegel exercise. Medical Science Monitor, 19, 1159–1166.
  • Nawrot, J., Humaj-Grysztar, M., Gniadek, A., Matuszyk, D., & Biernat, R. (2018). Quality of life of women with postmenopausal pelvic organ prolapse. Pielegniarstwo XXI wieku/Nursing in the 21st Century, 16(4), 17–23.
  • Özengin, N., Çankaya, H., Duygu, E., Uysal M. F., & Bakar, Y. (2017). The effect of pelvic organ prolapse type on sexual function, muscle strength, and pelvic floor symptoms in women: A retrospective study. Turkish Journal of Obstetrics And Gynecology, 4, 121–127.
  • Panman, C., Wiegersma, M., Kollen, B. J., Berger, M. Y., Lisman-Van Leeuwen, Y., Vermeulen, K. M., & Dekker. J. H. (2017). Two-year effects and cost-effectiveness of pelvic floor muscle training in mild pelvic organ prolapse: A randomised controlled trial in primary care. BJOG: An International Journal of Obstetrics & Gynaecology, 124(3), 511–520.
  • Plante, R. F., & Fine, G. A. (2017). Sexuality and reputation: An introduction. Sexualities, 20(7), 767–771.
  • Salamon, C. G., Lewis, C. M., Priestley, J., & Culligan, P. J. (2014). Sexual function before and 1 year after laparoscopic sacrocolpopexy. Female Pelvic Medicine & Reconstructive Surgery, 20(1), 44–47.
  • Shahghaibi, S., Faizi, S., & Gharibi, F. (2013). Effect of colporrhaphy on the sexual dysfunction of women with pelvic organ prolapsed. Pakistan Journal of Medical Sciences, 29(1), 157–160.
  • Srisukho, S., & Chinthakanan, O. (2017). Treatment of pelvic organ prolapse in a patient with a thermal burn wound caused by hot stone therapy, a traditional thai treatment. Case Reports in Obstetrics and Gynecology, 2017, 1–3.
  • Şimşek, Ö. Y. (2012). Pelvik organ prolapsusu. N. Çiçek (Ed.), Kadın hastalıkları ve doğum bilgisi içinde (3.bs, s. 1069–1076). Ankara: Atlas Kitapçılık.
  • Topuz, Ş., & Seviğ, E. Ü. (2016). Effects of kegel exercises applied to urinary incontinence on sexual satisfaction. International Journal of Clinical and Experimental Medicine, 9(6), 12365–12374.
  • Tseng, L. H., Chen, I., Chang, S. D., & Lee, C. L. (2013). Modern role of sacrospinous ligament fixation for pelvic organ prolapse surgery—a systemic review. Taiwanese Journal of Obstetrics and Gynecology, 52(3), 311–317.
  • Tunuguntla, H. S., & Gousse, A. E. (2006). Female sexual dysfunction following vaginal surgery: A review. Journal of Urology, 175(2), 439–446.
  • Uçar, M. G., İlhan, T. T., Şanlıkan, F., & Çelik, Ç. (2016). Sexual functioning before and after vaginal hysterectomy to treat pelvic organ prolapse and the effects of vaginal cuff closure techniques: A prospective randomised study. European Journal of Obstetrics and Gynecology and Reproductive Biology, 206, 1–5.
  • Uğurlucan-Güngör, F., Yaşa, C., Baştu, E., Dural, Ö. ve Yalçın, Ö. (2013). Uterus koruyucu pelvik organ prolapsus tedavisi. İstanbul Tıp Fakültesi Dergisi, 76(3), 59–64.
  • Ulrich, D., Dwyer, P., Rosamilia, A., Lim, Y., & Lee, J. (2015). The effect of vaginal pelvic organ prolapse surgery on sexual function. Neurourology and Urodynamics, 34(4), 316–321.
  • Wu, Y. M., McInnes, N., & Leong, Y. (2018). Pelvic floor muscle training versus watchful waiting and pelvic floor disorders in postpartum women: A systematic review and meta-analysis. Female Pelvic Medicine & Reconstructive Surgery, 24(2), 142–149.
  • Yang, S., Sang, W., Feng, J., Zhao, H., Li, X., Li, P. … Gao, L. (2017). The effect of rehabilitation exercises combined with direct vagina low voltage low frequency electric stimulation on pelvic nerve electrophysiology and tissue function in primiparous women: A randomised controlled trial. Journal of Clinical Nursing, 26(23–24), 4537–4547.
  • Yıldız, Ç., Akkar-Bozoklu, Ö., Karakuş, S. ve Korğalı, E. (2015). Kadınlarda pelvik cerrahi sonrası cinsel yaşam. Androloji Bülteni, 17(60), 56–59.
  • Zielinski, R., Miller, J., Low, L. K., Sampselle, C., & Delancey, J. O. L. (2012). The relationship between pelvic organ prolapse, genital body image and sexual health. Neurourology and Urodynamics, 31(7), 1145–1148.

Pelvik Organ Prolapsusu ve Cinsel Yaşam Üzerine Etkileri

Yıl 2018, Cilt: 26 Sayı: 3, 211 - 218, 26.10.2018

Gamze Fışkın Nezihe Kızılkaya Beji

Öz

Bu derlemenin amacı; pelvik organ prolapsusunun cinsel yaşam üzerindeki etkilerini sunmaktır. Pelvik organ prolapsusu, kadınların yarıya yakınını etkileyen biyopsikososyal bir sağlık sorunudur. Bu sağlık sorunu kadında; estetik kaygıya, fizyolojik ve psikolojik problemlere, disparoniye, cinsel istek, uyarılma ve orgazm aşamalarında da olumsuz etkilere de neden olur. Kadının ilk değerlendirmesi, yönetimi ve sürekli desteğine katkıda bulunmak için çok iyi bir konum olan uzman ebe/hemşireler tarafından alınan ayrıntılı anamnez ve hekim tarafından uygulanan fizik muayene ve tanı testleri sonucunda konservatif veya cerrahi tedavi yöntem tercihi yapılır. Konservatif tedavi uygulanan kadınlarda kegel egzersizi ile ilgili daha fazla çalışmaya ihtiyaç duyulurken, daha çok ileri yaşlarda kullanımı tercih edilen pesserin cinsel aktivite sıklığında ve tatmin düzeylerinde artış sağladığı, tedavi sonrasında lubrikasyon ve istekte olumlu etkilerinin olduğu bildirilmiştir. Cerrahi yöntem uygulanan hastalarla yapılan çalışmaların birçoğunda ise, cerrahi operasyonların beden imajı ve çekicilik hissinde artış sağlayabildiği fakat cinsel işlevlerde belirgin bir iyileşmeye neden olmadığı bulunmuştur. Yapılan tüm bu teşhis ve tedavi süresince de uzman ebe/hemşirelerin, kadına ve ailesine psikolojik destek, eğitim ve danışmanlık vermesinin yanı sıra cinsel yaşam konusunda da önerilerde bulunması önemlidir. Pelvik organ prolapsusu yaşayan kadınların olumsuz olarak etkilenen cinsel fonksiyonlarının dikkatle değerlendirilerek çözüme yönelik yaklaşımlarda bulunulması önemlidir.


Anahtar Kelimeler

cinsel yaşam cerrahi tedavi Pelvik organ prolapsusu konservatif tedavi

Kaynakça

  • Arnouk, A., De, E., Rehfuss, A., Cappadocia, C., Dickson, S., & Lian, F. (2017). Physical, complementary, and alternative medicine in the treatment of pelvic floor disorders. Current Urology Reports, 18(47), 1–13.
  • Balsak, D., Uysal, A., Cavus, Y., Ince, Z., Acar, Z., Güngör, A., & Hacıvelioğlu, S. (2013). Treatment of vaginal cuff prolapses with posterior intravaginal sling and evaluation of efficiency with international consultation on incontinence questionnaire—vaginal symptoms method in the long term: Preliminary results. LUTS: Lower Urinary Tract Symptoms, 5(3), 140–144.
  • Bilgiç, D., Kızılkaya-Beji, N. ve Yalçın Ö. (2012). Ürojinekoloji hastalarında cinsel fonksiyonun değerlendirilmesi. Türk Jinekoloji ve Obstetrik Derneği Dergisi, 9(3), 142–152.
  • Bilgiç-Çelik, D. ve Kızılkaya-Beji, N. (2012). Pelvik taban fonksiyon bozuklukları ve yaşam kalitesi. Florence Nightingale Hemşirelik Dergisi, 20(1), 69–79.
  • Brækken, I. H., Majida, M., Engh, M. Ei., & Bø, A. (2015). Can pelvic floor muscle training improve sexual function in women with pelvic organ prolapse? A randomized controlled trial. The Journal of Sexual Medicine, 12(2), 470–480.
  • Bø, K. (2012). Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction.World Journal of Urology, 30(4), 437–443.
  • Costantini, E., Porena M., Lazzeri, M., Mearini, L., Bini, V., & Zucchi, A. (2013). Changes in female sexual function after pelvic organ prolapse repair: Role of hysterectomy. International Urogynecology Journal, 24(9), 1481–1487.
  • Culligan, P. J. (2012). Nonsurgical management of pelvic organ prolapse. Obstetrics & Gynecology, 119(4), 852–860.
  • Dalpiaz, O., Kerschbaumer, A., Mitterberger, M., Pinggera, G. M., Colleselli, D., Bartsch, G., & Strasser, H. (2008). Female sexual dysfunction: A new urogynaecological research field. BJU International, 101(6), 717–721.
  • Dawson, M. D., Rinko, R. C., Shah, N. M., & Whitmore, K. E. (2017). The Impact of pelvic reconstructive surgery for pelvic organ prolapse and urinary ıncontinence on female sexual dysfunction: A Review. JSM Sexual Medicine, 2(1), 1006–1014.
  • De Albuquerque Coelho, S. C., de Castro, E. B., & Juliato, C. R. T. (2016). Female pelvic organ prolapse using pessaries: Systematic review. International Urogynecology Journal, 27(12), 1797–1803.
  • Demirci, N., Ataman, H., Aba, Y. A., Başar, F. ve Özkan, F. (2013). Pelvik organ prolapsusu/üriner inkontinans ile ilişkili şikayetlerin kadınların cinsel fonksiyonuna etkisi. Zeynep Kamil Tıp Bülteni, 44(2), 58–64.
  • Dwyer, L., & Kearney, R. (2017). Conservative management of pelvic organ prolapse. Obstetrics, Gynaecology & Reproductive Medicine, 28(1), 15–21.
  • El-Begway, A. F., Elshamy, F. F., & Hanfy, H. M. (2010). The effect of pelvic floor exercices on sexual function after vaginal delivery. The Medical Journal of Cairo University, 78(2), 37–31.
  • Feldner, P. C., Delroy, C. A., Martins, S. B., Castro, R. A., Sartori, M., & Girao, M. (2012). Sexual function after anterior vaginal wall prolapse surgery. Clinics, 67(8), 871–875.
  • Golmakani, N., Zare, Z., Khadem, N., Shareh, H., & Shakeri, M. T. (2015). The effect of pelvic floor muscle exercises program on sexual self-efficacy in primiparous women after delivery. Iranian Journal of Nursing and Midwifery Research, 20(3), 347–353.
  • Hagen, S., & Stark, D. (2011). Conservative prevention and management of pelvic organ prolapse in women. Cochrane Library: Cochrane Reviews, 7(12), 1–4.
  • Handa, V. L., Whitcomb, E., Weidner, A. C., Nygaard, I., Brubaker, L., Bradley, C. S. … Richter, H. E. (2011). Sexual function before and after non-surgical treatment for stress urinary incontinence. Female Pelvic Medicine & Reconstructive Surgery, 17(1), 30–35.
  • International Urogynecological Association. (2011). Anterior vaginal repair (bladder repair). http://thepelvicfloorsociety.co.uk/budcms/includes/kcfinder/upload/files/eng_antvwrepair.pdf.
  • Jurczak, I., & Chrzęszczyk, M. (2016). The impact assessment of pelvic floor exercises to reduce symptoms and quality of life of women with stress urinary incontinence. Journal: Pol Merkur Lekarski, 40(237), 168–172.
  • Karapanos, L., Salem, J., Akbarov, I., Heidenreich, A., & Zugor, V. (2018). Surgical treatment of pelvic organ prolapse. Aktuelle Urol, 49(1), 52–59.
  • Kariman, N. S., Tarverdi, M., Azar, M., & Alavimajd, H. (2005). Evaluating the effects of colporrhaphy on the sexual satisfaction of women. Journal of Reproduction & Infertility, 6(3), 254–260.
  • Kılıç, M., Ejder-Apay, S. ve Kızılkaya-Beji, N. (2011). Pelvik organ prolapsusu sonucu gelişen cinsel fonksiyon bozuklukları ve hemşirelik yaklaşımları. Florence Nightingale Hemşirelik Dergisi, 19(3), 194–202.
  • Ko, Y. C., Yoo, E. H., Han, G. H., & Kim, Y. M. (2017). Comparison of sexual function between sacrocolpopexy and sacrocervicopexy. Obstetrics & Gynecology Science, 60(2), 207–212.
  • Korğalı, E. ve Ayan, S. (2011). Pelvik organ prolapsusunda temel değerlendirme yöntemleri. Kadın ve İşlevsel Üroloji Bülteni, 1(2), 9–12.
  • Lamers, B. H. C., Broekman, B. M. W., & Milani, A. L. (2011). Pessary treatment for pelvic organ prolapse and health-related quality of life: A review. International Urogynecology Journal, 22(6), 637–644.
  • Lonnée-Hoffmann, R., & Pinas, İ. (2014). Effects of hysterectomy on sexual function. Current Sexual Health Reports, 6(4), 244–251.
  • Lowenstein, L., Pierce, K., & Pauls, R. (2009). Urogynecology and sexual function research. How are we doing? The Journal of Sexual Medicine, 6(1), 199–204.
  • Maher, C., Feiner, B., Baessler, K., & Schmid, C. (2013). Surgical management of pelvic organ prolapse in women. Cochrane Database of Systematic Reviews, 7(12), 1–341.
  • Masenga, G. G., Shayo, B. C., & Rasch, V. (2018). Prevalence and risk factors for pelvic organ prolapse in Kilimanjaro, Tanzania: A population based study in Tanzanian rural community. PloS one, 13(4), e0195910.
  • Meriwether, K. V., Komesu, Y. M., Craig, E. C., Qualls, C., Davis, H. T., & Rogers, R. G. (2015). Sexual function and pessary management among women using a pessary for pelvic floor disorders. The Journal of Sexual Medicine, 12(12), 2339–2349.
  • Meriwether, K., Anthos, D. D., Olivera, C. K., Kim-Fine, S., Balk, M. E., Murphy, M. … Rahn, D. D. (2018). Uterine preservation versus hysterectomy in pelvic organ prolapse surgery: A systematic review with meta-analysis and clinical practice guidelines. American Journal of Obstetrics And Gynecology, 219(2), 1–20.
  • Mohktar, M. S., Ibrahim, F., Rozi, N. F. M., Yusof, J. M., Ahmad, S. A., Yen, K. S., & Omar, S. Z. (2013). A quantitative approach to measure women’s sexual function using electromyography: A preliminary study of the Kegel exercise. Medical Science Monitor, 19, 1159–1166.
  • Nawrot, J., Humaj-Grysztar, M., Gniadek, A., Matuszyk, D., & Biernat, R. (2018). Quality of life of women with postmenopausal pelvic organ prolapse. Pielegniarstwo XXI wieku/Nursing in the 21st Century, 16(4), 17–23.
  • Özengin, N., Çankaya, H., Duygu, E., Uysal M. F., & Bakar, Y. (2017). The effect of pelvic organ prolapse type on sexual function, muscle strength, and pelvic floor symptoms in women: A retrospective study. Turkish Journal of Obstetrics And Gynecology, 4, 121–127.
  • Panman, C., Wiegersma, M., Kollen, B. J., Berger, M. Y., Lisman-Van Leeuwen, Y., Vermeulen, K. M., & Dekker. J. H. (2017). Two-year effects and cost-effectiveness of pelvic floor muscle training in mild pelvic organ prolapse: A randomised controlled trial in primary care. BJOG: An International Journal of Obstetrics & Gynaecology, 124(3), 511–520.
  • Plante, R. F., & Fine, G. A. (2017). Sexuality and reputation: An introduction. Sexualities, 20(7), 767–771.
  • Salamon, C. G., Lewis, C. M., Priestley, J., & Culligan, P. J. (2014). Sexual function before and 1 year after laparoscopic sacrocolpopexy. Female Pelvic Medicine & Reconstructive Surgery, 20(1), 44–47.
  • Shahghaibi, S., Faizi, S., & Gharibi, F. (2013). Effect of colporrhaphy on the sexual dysfunction of women with pelvic organ prolapsed. Pakistan Journal of Medical Sciences, 29(1), 157–160.
  • Srisukho, S., & Chinthakanan, O. (2017). Treatment of pelvic organ prolapse in a patient with a thermal burn wound caused by hot stone therapy, a traditional thai treatment. Case Reports in Obstetrics and Gynecology, 2017, 1–3.
  • Şimşek, Ö. Y. (2012). Pelvik organ prolapsusu. N. Çiçek (Ed.), Kadın hastalıkları ve doğum bilgisi içinde (3.bs, s. 1069–1076). Ankara: Atlas Kitapçılık.
  • Topuz, Ş., & Seviğ, E. Ü. (2016). Effects of kegel exercises applied to urinary incontinence on sexual satisfaction. International Journal of Clinical and Experimental Medicine, 9(6), 12365–12374.
  • Tseng, L. H., Chen, I., Chang, S. D., & Lee, C. L. (2013). Modern role of sacrospinous ligament fixation for pelvic organ prolapse surgery—a systemic review. Taiwanese Journal of Obstetrics and Gynecology, 52(3), 311–317.
  • Tunuguntla, H. S., & Gousse, A. E. (2006). Female sexual dysfunction following vaginal surgery: A review. Journal of Urology, 175(2), 439–446.
  • Uçar, M. G., İlhan, T. T., Şanlıkan, F., & Çelik, Ç. (2016). Sexual functioning before and after vaginal hysterectomy to treat pelvic organ prolapse and the effects of vaginal cuff closure techniques: A prospective randomised study. European Journal of Obstetrics and Gynecology and Reproductive Biology, 206, 1–5.
  • Uğurlucan-Güngör, F., Yaşa, C., Baştu, E., Dural, Ö. ve Yalçın, Ö. (2013). Uterus koruyucu pelvik organ prolapsus tedavisi. İstanbul Tıp Fakültesi Dergisi, 76(3), 59–64.
  • Ulrich, D., Dwyer, P., Rosamilia, A., Lim, Y., & Lee, J. (2015). The effect of vaginal pelvic organ prolapse surgery on sexual function. Neurourology and Urodynamics, 34(4), 316–321.
  • Wu, Y. M., McInnes, N., & Leong, Y. (2018). Pelvic floor muscle training versus watchful waiting and pelvic floor disorders in postpartum women: A systematic review and meta-analysis. Female Pelvic Medicine & Reconstructive Surgery, 24(2), 142–149.
  • Yang, S., Sang, W., Feng, J., Zhao, H., Li, X., Li, P. … Gao, L. (2017). The effect of rehabilitation exercises combined with direct vagina low voltage low frequency electric stimulation on pelvic nerve electrophysiology and tissue function in primiparous women: A randomised controlled trial. Journal of Clinical Nursing, 26(23–24), 4537–4547.
  • Yıldız, Ç., Akkar-Bozoklu, Ö., Karakuş, S. ve Korğalı, E. (2015). Kadınlarda pelvik cerrahi sonrası cinsel yaşam. Androloji Bülteni, 17(60), 56–59.
  • Zielinski, R., Miller, J., Low, L. K., Sampselle, C., & Delancey, J. O. L. (2012). The relationship between pelvic organ prolapse, genital body image and sexual health. Neurourology and Urodynamics, 31(7), 1145–1148.
Toplam 51 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Gamze Fışkın

Nezihe Kızılkaya Beji

Yayımlanma Tarihi 26 Ekim 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 26 Sayı: 3

Kaynak Göster

APA Fışkın, G., & Kızılkaya Beji, N. (2018). Pelvik Organ Prolapsusu ve Cinsel Yaşam Üzerine Etkileri. Florence Nightingale Journal of Nursing, 26(3), 211-218.
AMA Fışkın G, Kızılkaya Beji N. Pelvik Organ Prolapsusu ve Cinsel Yaşam Üzerine Etkileri. Florence Nightingale Journal of Nursing. Ekim 2018;26(3):211-218.
Chicago Fışkın, Gamze, ve Nezihe Kızılkaya Beji. “Pelvik Organ Prolapsusu Ve Cinsel Yaşam Üzerine Etkileri”. Florence Nightingale Journal of Nursing 26, sy. 3 (Ekim 2018): 211-18.
EndNote Fışkın G, Kızılkaya Beji N (01 Ekim 2018) Pelvik Organ Prolapsusu ve Cinsel Yaşam Üzerine Etkileri. Florence Nightingale Journal of Nursing 26 3 211–218.
IEEE G. Fışkın ve N. Kızılkaya Beji, “Pelvik Organ Prolapsusu ve Cinsel Yaşam Üzerine Etkileri”, Florence Nightingale Journal of Nursing, c. 26, sy. 3, ss. 211–218, 2018.
ISNAD Fışkın, Gamze - Kızılkaya Beji, Nezihe. “Pelvik Organ Prolapsusu Ve Cinsel Yaşam Üzerine Etkileri”. Florence Nightingale Journal of Nursing 26/3 (Ekim 2018), 211-218.
JAMA Fışkın G, Kızılkaya Beji N. Pelvik Organ Prolapsusu ve Cinsel Yaşam Üzerine Etkileri. Florence Nightingale Journal of Nursing. 2018;26:211–218.
MLA Fışkın, Gamze ve Nezihe Kızılkaya Beji. “Pelvik Organ Prolapsusu Ve Cinsel Yaşam Üzerine Etkileri”. Florence Nightingale Journal of Nursing, c. 26, sy. 3, 2018, ss. 211-8.
Vancouver Fışkın G, Kızılkaya Beji N. Pelvik Organ Prolapsusu ve Cinsel Yaşam Üzerine Etkileri. Florence Nightingale Journal of Nursing. 2018;26(3):211-8.
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