eISSN: 2299-0038
ISSN: 1643-8876
Menopause Review/Przegląd Menopauzalny
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3/2019
vol. 18
 
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abstract:
Review paper

Multidisciplinary management of women with pelvic organ prolapse, urinary incontinence and lower urinary tract symptoms. A clinical and psychological overview

Valentina Lucia La Rosa
1
,
Michał Ciebiera
2
,
Li-Te Lin
3
,
Zaki Sleiman
4
,
Tais Marques Cerentini
5
,
Patricia Lordelo
6
,
Ilker Kahramanoglu
7
,
Simone Bruni
8
,
Simone Garzon
9
,
Michele Fichera
10

1.
Unit of Psychodiagnostics and Clinical Psychology, University of Catania, Catania, Italy
2.
Second Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw, Poland
3.
Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
4.
Department of Obstetrics and Gynecology, Lebanese American University, Beirut, Lebanon
5.
Postgraduate Program in Rehabilitation Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil
6.
Bahiana School of Medicine and Public Health, Salvador, Brazil
7.
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey
8.
Department of Molecular and Developmental Medicine, Division of Obstetrics and Gynecology, University of Siena, Siena, Italy
9.
Department of Obstetrics and Gynecology, “Filippo Del Ponte” Hospital, University of Insubria, Varese, Italy
10.
Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
Menopause Rev 2019; 18(3): 184-190
Online publish date: 2019/11/05
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Although female sexual dysfunctions are common among women with urogynecological conditions, they have not been thoroughly studied and there are still many questions without an answer. The recent evidence on sexual disorders in women with urogynecological diseases shows a quite wide spectrum of therapeutic approaches, which require the physicians to take into account not only the primary symptoms, but also all the associated factors negatively affected. It has been widely underlined that gynecological diseases are often associated with high stress and have a negative impact on quality of life and psychological well-being of women affected. For this reason, a multidisciplinary approach for the management of these diseases is highly recommended. Also in the case of urogynecological disorders, it is important to take into account psychological outcomes throughout the diagnostic and therapeutic process.

In the light of these considerations, the aim of this short review is to evaluate the impact of the main urogynecological diseases and the currently available therapeutic options in order to improve quality of life and sexuality of these patients and to stress the need for a multidisciplinary approach in order to minimize the negative consequences of these diseases for the sexual well-being of women and their partners.
keywords:

pelvic organ prolapse, urinary incontinence, LUTS, quality of life, sexuality

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