背景:作为整形外科中最实践的程序之一,重要的是要更好地了解腹部成形术后耻骨区的解剖变化对女性性行为的影响。迄今为止,尚未为此目的进行过任何研究,我们的目的是评估腹部成形术对性快感的影响,并对手术后阴蒂位置和耻骨前脂肪面积的变化进行客观评价.
方法:一项前瞻性研究已在2021年1月至2021年12月对50名表示希望进行腹部成形术的女性进行了研究。主要终点是所有患者在腹部成形术前和术后6个月通过“性评估量表”评估的性快感。此外,我们评估了阴蒂的物理变化(阴蒂-阴蒂距离,CP距离)和腹部成形术前和术后3个月的磁共振成像上的耻骨前脂肪面积。
结果:患者平均年龄为42±9岁,平均体重指数为26±2kg/m2。腹部成形术前和术后6个月的性满意度之间存在显着差异(P<0.0001)(平均差7.4±6.452)。尽管腹部成形术前后的耻骨距离没有显着差异(平均差-3.200±2.499mm;p=0.0832),与腹部成形术后相比,青春期前脂肪面积的大小存在显着差异(平均差-1.714±1.010cm2;p=0.0426)。然而,这些解剖变化与性满意度之间没有显着关系。
结论:我们的结果表明,腹部整复与性满意度的增加有关。术后阴蒂位置变化无统计学意义,与青春期前脂肪区域的大小相反,这被显著改变,可以部分解释性快感的改善。作者无法在统计学上证明这些解剖学修饰与性快感之间的相关性。
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Being one of the most practiced procedures in plastic surgery, it is important to foster a better understanding of the effect of anatomical changes in the pubic area after abdominoplasty on sexuality in women. Since to date no study has been performed with this purpose, our aim is to evaluate the impact of the abdominoplasty on sexual pleasure and to perform an objective evaluation of changes in clitoral position and prepubic fat area after this procedure.
A prospective study has been performed in 50 women who expressed a desire to undergo abdominoplasty from January 2021 to December 2021. The primary endpoint was Sexual pleasure assessed by the \"Sexuality Assessment Scale\" before and 6 months after abdominoplasty in all patients. Furthermore, we evaluated the physical changes of the clitoris (clito-pubic distance, CP distance) and the prepubic fat area on magnetic resonance imaging before and 3 months after abdominoplasty.
Patients mean age was of 42 ± 9 years, and mean body mass index of 26 ± 2 kg/m2. A significant difference (P < 0.0001) between sexual satisfaction before and 6 months after abdominoplasty (mean difference +7.4 ± 6.452) was found. Though there was no significant difference between the clito-pubic distance before and after abdominoplasty (mean difference -3.200 ± 2.499 mm; p= 0.0832), a significant difference was found in the size of the prepubic fat area before compared to after abdominoplasty (mean difference -1.714 ± 1.010 cm2; p = 0.0426). However, no significant relationship between these anatomical changes and sexual satisfaction was found.
Our results show that abdominoplasty is associated with an increase in sexual satisfaction. The changes in the post-operative position of the clitoris were not statistically significant, contrarily to the size of the prepubic fat area, which was significantly modified and could partially explain the improved sexual pleasure. Authors were unable to statistically demonstrate a correlation between those anatomical modifications and sexual pleasure.
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