Pelvik Organ Prolapsusu/�riner �nkontinans �le �li�kili �ikayetlerin Kad�nlar�n Cinsel Fonksiyonuna Etkisi

Demirci, Nurdan; Ataman, Hacer; Aba, Y�lda Arzu; Ba�ar, Fatma; �zkan, Filiz

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Zeynep Kamil Medical Journal

Pelvik Organ Prolapsusu/�riner �nkontinans �le �li�kili �ikayetlerin Kad�nlar�n Cinsel Fonksiyonuna Etkisi [Zeynep Kamil Med J]

Zeynep Kamil Med J. 2013; 44(2): 58-64

Pelvik Organ Prolapsusu/�riner �nkontinans �le �li�kili �ikayetlerin Kad�nlar�n Cinsel Fonksiyonuna Etkisi

Nurdan Demirci¹, Hacer Ataman², Y�lda Arzu Aba³, Fatma Ba�ar⁴, Filiz �zkan⁵
¹Department of Obstetrics and Gynecology Nursing, Marmara University Faculty of Health Sciences, Istanbul
²Quality Management Director, Bak�rk�y Prof. Dr. Mazhar Osman Mental Health and Neurological Diseases E. A. Hospital, Istanbul
³Nursing Department, U�ak University School of Health, U�ak
⁴Department of Obstetrics, Gynecology and Diseases Nursing, Dumlup�nar University School of Health, K�tahya
⁵Nursing Department, D�zce University School of Health, D�zce

INTRODUCTION: To determine the effect of pelvic organ prolapse/urinary incontinence associated complaints on the sexual function of women.
METHODS: 259 women completed a questionnaire and the �Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire� (PISQ-12)
scale.
RESULTS: The percentage of urinary incontinence associated complaints was 26.6% and they were significantly related with urinary incontinence
during the pregnancy, family history of incontinence, hemorrhoids, constipation, and urinary tract infection (p<0,05). The percentages of complaints associated with cystocele and uterine prolapse were 8,1 and 3,5 % respectively. The mean total score of PISQ-12 was 14,36 � 6,64. Educational level, the number of births, duration of longer than 24 hours of birth, hemorrhoids, constipation, miscarriage, abortion and gynecological surgery were significantly related with cystocele associated complaints (p <0,05). Whereas the number of birth, the educational level, and constipation were found significantly related to uterine prolapse associated complaints (p <0,05).
DISCUSSION AND CONCLUSION: Urinary incontinence associated complaints significantly affect sexual function particularly in women between cystocele and uterine prolapse associated complaints.

Keywords: Pelvic Organ Prolapse, Urinary Incontinence; Sexual Dysfunction, Physiological; Sexual Dysfunctions, Psychological

Pelvik Organ Prolapsusu/�riner �nkontinans �le �li�kili �ikayetlerin Kad�nlar�n Cinsel Fonksiyonuna Etkisi

Nurdan Demirci¹, Hacer Ataman², Y�lda Arzu Aba³, Fatma Ba�ar⁴, Filiz �zkan⁵
¹Do�um ve Kad�n Hastal�klar� Hem�ireli�i AD, Marmara �niversitesi Sa�l�k Bilimleri Fak�ltesi, �stanbul
²Kalite Y�netim Direkt�r�, Bak�rk�y Prof. Dr. Mazhar Osman Ruh Sa�l�� ve Sinir Hastal�klar� E. A. Hastanesi, �stanbul
³Hem�irelik B�l�m�, U�ak �niversitesi Sa�l�k Y�ksekokulu, U�ak
⁴Do�um, Kad�n Sa�l�� ve Hastal�klar� Hem�ireli�i AD, Dumlup�nar �niversitesi Sa�l�k Y�ksekokulu, K�tahya
⁵Hem�irelik B�l�m�, D�zce �niversitesi Sa�l�k Y�ksekokulu, D�zce

G�R�� ve AMA�: Pelvik organ prolapsusu/�riner inkontinans ile ili�kili �ikayetlerin kad�nlar�n cinsel fonksiyonuna etkisini ara�t�rmak.
Y�NTEM ve GERE�LER: Bu �al��maya 18 ya� �st� 259 kad�n al�nm��, verilerin toplanmas�nda anket formu ve �Pelvik Organ Prolapsusu/ �drar �nkontinans� Cinsel Fonksiyon Sorgulamas�� (PISQ-12) �l�e�i kullan�lm��t�r.
BULGULAR: �riner inkontinans ile ili�kili �ikayetlerle (%26.6) gebelikte idrar ka��rma, ailede idrar ka��rma, hemoroid, kab�zl�k ve �riner sistem enfeksiyonu aras�nda anlaml� ili�ki bulunmu�tur (p<0,05). Sistosel ve uterus prolapsusu ile ili�kili �ikayetlerin oran� s�ras�yla %8.1 ve %3.5�tir. PISQ-12 �l�e�i ortalama toplam puan� 14,36�6,64�t�r. Sistosel ile ili�kili �ikayetlerle e�itim d�zeyi, do�um say�s�, 24 saatten uzun s�ren do�um s�resi, hemoroid, kab�zl�k, d��k, k�rtaj ve jinekolojik ameliyat ge�irme aras�nda anlaml� ili�ki saptanm��t�r (p<0,05). Uterus prolapsusu ile ili�kili �ikayetlerle do�um say�s�, e�itim d�zeyi ve kab�zl�k aras�nda anlaml� ili�ki bulunmu�tur (p<0,05).
TARTI�MA ve SONU�: Bu �al��mada, �riner inkontinans, sistosel ve uterus prolapsusu ile ili�kili �ikayetlerle anlaml� ili�kisi olan �zelliklerin kad�nlarda cinsel fonksiyonlar� etkiledi�i g�r�lm��t�r.

Anahtar Kelimeler: Pelvik Organ Prolapsusu, �riner �nkontinans, Cinsel Fonksiyon Bozuklu�u

Nurdan Demirci, Hacer Ataman, Y�lda Arzu Aba, Fatma Ba�ar, Filiz �zkan. Pelvik Organ Prolapsusu/�riner �nkontinans �le �li�kili �ikayetlerin Kad�nlar�n Cinsel Fonksiyonuna Etkisi. Zeynep Kamil Med J. 2013; 44(2): 58-64

Corresponding Author: Hacer Ataman, T�rkiye
Manuscript Language: Turkish

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