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Fisioterapia e Pesquisa

Print version ISSN 1809-2950On-line version ISSN 2316-9117

Abstract

CRUZ, Soany de Jesus Valente; SANTOS, Valéria Costa dos; NUNES, Erica Feio Carneiro  and  RODRIGUES, Cibele Nazaré Câmara. Sexual function and stress urinary incontinence in women submitted to total hysterectomy with bilateral oophorectomy. Fisioter. Pesqui. [online]. 2020, vol.27, n.1, pp.28-33.  Epub Apr 06, 2020. ISSN 2316-9117.  https://doi.org/10.1590/1809-2950/18033627012020.

The objective of this article was to evaluate the sexual function index of women submitted to total hysterectomy with bilateral oophorectomy (THBO), the prevalence of urinary incontinence (SUI) and its association with the performance of this surgical procedure in a reference hospital in Belém, Pará. One hundred sixty-two women with active sexual life were included in two groups: those who have undergone THBO for more than 12 months (n=68), and those who have not (n=94). The Female Sexual Function Index (FSFI) questionnaire was used to evaluate sexual function along with a questionnaire developed by the researchers to collect social, economic and clinical data, including information on the presence of SUI. The significance level was defined as p<0.05. There was a significant difference in the sexual function index between THBO group and the control group, with an FSFI overall score of 23.56 and 28.68, respectively (p=0.0001). Desire, arousal, lubrication (p<0.0001), orgasm (p=0.04), satisfaction (p=0.0006) and pain (p=0.015) domains had lower scores in hysterectomized women. The prevalence of SUI symptoms in THBO group was 35.3%, and a significant association was observed between the presence of SUI and hysterectomy (p=0.02). Women who undergo THBO have a higher risk of sexual dysfunction, and this surgical procedure is associated with the development of SUI.

Keywords : Hysterectomy; Ovariectomy; Urinary Incontinence; Sexuality; Critical Care; Respiration, Artificial; Pulmonary Ventilation.

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