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Campanella L, Gabrielli G, Chiodo E, Stefanachi V, Pennacchini E, Grilli D, Grossi G, Cignini P, Morciano A, Zullo MA, Palazzetti P, Rappa C, Calcagno M, Spina V, Cervigni M, Schiavi MC. Minimally Invasive Treatment of Stress Urinary Incontinence in Women: A Prospective Comparative Analysis between Bulking Agent and Single-Incision Sling. Healthcare (Basel) 2024; 12:751. [PMID: 38610173 PMCID: PMC11012214 DOI: 10.3390/healthcare12070751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Revised: 03/27/2024] [Accepted: 03/28/2024] [Indexed: 04/14/2024] Open
Abstract
INTRODUCTION The study aims to compare the efficacy and safety of bulking agents and single-incision slings in the treatment of urinary incontinence in 159 patients during a 29-month follow-up period. MATERIAL AND METHODS Of the 159 patients suffering from stress urinary incontinence, 64 were treated with bulking agents (PAHG Bulkamid®) and 75 with a single-incision sling (Altis®). The ICIQ-UI-SF (Incontinence Questionnaire-Urine Incontinence-Short Form), PISQ-12 (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaires short form), FSFI (Female Sexual Function Index), FSDS (Female Sexual Distress Scale), and PGI-I (Patient Global Improvement Index) were used to assess efficiency and quality of life. RESULTS The bulking agents showed high efficacy and safety during the 29-month follow-up. Post-operative complications were recorded in both groups, with only two significant differences. The Bulkamid group experienced no pain, while 10.8% of the ALTIS group experienced groin pain and 5% experienced de novo urgency. Furthermore, patients treated with bulking agents experienced reduced nicturia (0.78 vs. 0.92 in patients treated with single-incision slings.). In both groups, we noticed a significant improvement in QoL (quality of life), with a halved ICIQ-UI-SF (International Consultation on Incontinence Questionnaire-Urine Incontinence-Short Form) score which was completed to assess the impact of urine symptoms. After 24 months of therapy, the Bulkamid group saw a decrease from 14.58 ± 5.11 at baseline to 5.67 ± 1.90 (p < 0.0001), whereas the ALTIS group experience a decrease from 13.75 ± 5.89 to 5.83 ± 1.78. Similarly, we observed an improvement in sexual function, with the number of sexually active patients increasing from 29 to 44 (56.4%) in the Bulkamid group (p = 0.041) and from 31 to 51 (61.7%) in the ALTIS group (p = 0.034). According to the most recent statistics, the PISQ-12, FSFI, and FSDS scores all demonstrated an improvement in women's sexual function. CONCLUSIONS In terms of efficacy and safety, bulking agents had notable results over the 29-month follow-up period. Furthermore, the patients treated with bulking agents reported a lower incidence of postoperative complications and a no discernible difference in terms of quality of life and sexual activity compared to the ones treated with single-incision slings. Bulking agents can be considered a very reliable therapeutic option based on accurate patient selection.
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Affiliation(s)
- Lorenzo Campanella
- Department of Obstetrics and Gynaecology, Ospedale Sandro Pertini, 00157 Rome, Italy; (G.G.); (E.C.); (V.S.); (E.P.); (D.G.); (G.G.); (P.C.); (P.P.); (M.C.S.)
- Department of Obstetrics and Gynaecology, Università di Tor Vergata, 00133 Rome, Italy
| | - Gianluca Gabrielli
- Department of Obstetrics and Gynaecology, Ospedale Sandro Pertini, 00157 Rome, Italy; (G.G.); (E.C.); (V.S.); (E.P.); (D.G.); (G.G.); (P.C.); (P.P.); (M.C.S.)
- Department of Obstetrics and Gynaecology, Università di Tor Vergata, 00133 Rome, Italy
| | - Erika Chiodo
- Department of Obstetrics and Gynaecology, Ospedale Sandro Pertini, 00157 Rome, Italy; (G.G.); (E.C.); (V.S.); (E.P.); (D.G.); (G.G.); (P.C.); (P.P.); (M.C.S.)
- Department of Obstetrics and Gynaecology, Università di Tor Vergata, 00133 Rome, Italy
| | - Vitaliana Stefanachi
- Department of Obstetrics and Gynaecology, Ospedale Sandro Pertini, 00157 Rome, Italy; (G.G.); (E.C.); (V.S.); (E.P.); (D.G.); (G.G.); (P.C.); (P.P.); (M.C.S.)
- Department of Obstetrics and Gynaecology, Università di Tor Vergata, 00133 Rome, Italy
| | - Ermelinda Pennacchini
- Department of Obstetrics and Gynaecology, Ospedale Sandro Pertini, 00157 Rome, Italy; (G.G.); (E.C.); (V.S.); (E.P.); (D.G.); (G.G.); (P.C.); (P.P.); (M.C.S.)
- Department of Obstetrics and Gynaecology, Università di Tor Vergata, 00133 Rome, Italy
| | - Debora Grilli
- Department of Obstetrics and Gynaecology, Ospedale Sandro Pertini, 00157 Rome, Italy; (G.G.); (E.C.); (V.S.); (E.P.); (D.G.); (G.G.); (P.C.); (P.P.); (M.C.S.)
- Department of Obstetrics and Gynaecology, Università di Tor Vergata, 00133 Rome, Italy
| | - Giovanni Grossi
- Department of Obstetrics and Gynaecology, Ospedale Sandro Pertini, 00157 Rome, Italy; (G.G.); (E.C.); (V.S.); (E.P.); (D.G.); (G.G.); (P.C.); (P.P.); (M.C.S.)
| | - Pietro Cignini
- Department of Obstetrics and Gynaecology, Ospedale Sandro Pertini, 00157 Rome, Italy; (G.G.); (E.C.); (V.S.); (E.P.); (D.G.); (G.G.); (P.C.); (P.P.); (M.C.S.)
| | - Andrea Morciano
- Department of Obstetrics and Gynaecology, Pia Fondazione Cardinale G. Panico, 73039 Tricase, Italy;
- AIUG Research Groups, Associazione Italiana di UroGinecologia e del Pavimento Pelvico, 00168 Rome, Italy; (M.A.Z.); (C.R.); (M.C.)
| | - Marzio Angelo Zullo
- AIUG Research Groups, Associazione Italiana di UroGinecologia e del Pavimento Pelvico, 00168 Rome, Italy; (M.A.Z.); (C.R.); (M.C.)
- Department of Week-Surgery, Policlinico Universitario Campus Bio Medico, 00128 Rome, Italy
| | - Pierluigi Palazzetti
- Department of Obstetrics and Gynaecology, Ospedale Sandro Pertini, 00157 Rome, Italy; (G.G.); (E.C.); (V.S.); (E.P.); (D.G.); (G.G.); (P.C.); (P.P.); (M.C.S.)
| | - Carlo Rappa
- AIUG Research Groups, Associazione Italiana di UroGinecologia e del Pavimento Pelvico, 00168 Rome, Italy; (M.A.Z.); (C.R.); (M.C.)
- Andrea Grimaldi Medical Care, 80122 Naples, Italy
| | - Marco Calcagno
- Department of Obstetrics and Gynecology, Santo Spirito Hospital, 00193 Rome, Italy;
| | - Vincenzo Spina
- Maternal and Child Department, S. Camillo de Lellis Hospital, 02100 Rieti, Italy;
| | - Mauro Cervigni
- AIUG Research Groups, Associazione Italiana di UroGinecologia e del Pavimento Pelvico, 00168 Rome, Italy; (M.A.Z.); (C.R.); (M.C.)
- Department of Female Pelvic Medicine and Reconstructive Surgery, Istituto Marco Pasquali ICOT, 04100 Latina, Italy
| | - Michele Carlo Schiavi
- Department of Obstetrics and Gynaecology, Ospedale Sandro Pertini, 00157 Rome, Italy; (G.G.); (E.C.); (V.S.); (E.P.); (D.G.); (G.G.); (P.C.); (P.P.); (M.C.S.)
- AIUG Research Groups, Associazione Italiana di UroGinecologia e del Pavimento Pelvico, 00168 Rome, Italy; (M.A.Z.); (C.R.); (M.C.)
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Spina V, Baldini E, Cardarelli S, Oliva C, Venarubea S, Faraoni F, Pastore G, Tittoni R, Musella A, Squarcella A, Lori E, Renzi E, Feroci R, Mastrodonato F, Ciferri F, Virili C, Centanni M, Fabiani C, Rago R, Schiavi MC, Palazzetti P, D'Armiento E, Cantisani V, Sorrenti S, Ulisse S. Iodized Salt May Not Be Sufficient to Guarantee an Adequate Iodine Intake in Pregnant Women. Nutrients 2023; 15:4182. [PMID: 37836466 PMCID: PMC10574232 DOI: 10.3390/nu15194182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 09/20/2023] [Accepted: 09/25/2023] [Indexed: 10/15/2023] Open
Abstract
Adequate iodine intake is of crucial importance in pregnancy to meet the thyroid hormone needs of both mother and fetus. In the present study, undertaken as a part of the surveillance actions following the introduction in Italy of a national salt iodination program in 2005, the iodine intake was investigated in 123 pregnant women and 49 control women living in the same area of central Italy. All the participants were screened for urinary iodine concentration (UIC), serum level of thyrotropin, free-thyroxine, free-triiodothyronine, and thyroid volume. Moreover, they were provided with a questionnaire on the use of iodine-containing salt or supplements. Control women had a median UIC of 102 µg/L, consistent with an iodine sufficiency, while in pregnant women the median UIC value was 108 µg/L, lower than the endorsed UIC of 150 µg/L. In addition, pregnant women showed a significantly increased median thyroid volume compared to controls. Interestingly, the median UIC did not differ between pregnant women not using iodine-containing salt or supplements and those regularly consuming iodized salt alone, while pregnant women with a daily intake of iodine-containing supplements had an adequate median UIC (168 µg/L). In conclusion, the data reported here showed that pregnant women and their fetuses are still exposed to the detrimental effects of iodine deficiency and that the consumption of iodine-containing supplements should be recommended in pregnancy.
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Affiliation(s)
- Vincenzo Spina
- Mother and Infant Department Unit, ASL-Rieti, 02100 Rieti, Italy
| | - Enke Baldini
- Department of Surgery, "Sapienza" University of Rome, 00185 Rome, Italy
| | - Silvia Cardarelli
- Department of Surgery, "Sapienza" University of Rome, 00185 Rome, Italy
| | - Cosimo Oliva
- Obstetrics and Gynaecology Unit, "S. Camillo De Lellis" Hospital, 02100 Rieti, Italy
| | - Stefano Venarubea
- Clinical Pathology Laboratory Unit, "S. Camillo De Lellis" Hospital, 02100 Rieti, Italy
| | - Franca Faraoni
- Pediatrics and Neonatology Unit, "S. Camillo De Lellis" Hospital, 02100 Rieti, Italy
| | - Giovanni Pastore
- Obstetrics and Gynaecology Unit, "S. Camillo De Lellis" Hospital, 02100 Rieti, Italy
| | - Rachele Tittoni
- Obstetrics and Gynaecology Unit, "S. Camillo De Lellis" Hospital, 02100 Rieti, Italy
| | - Angela Musella
- Obstetrics and Gynaecology Unit, "S. Camillo De Lellis" Hospital, 02100 Rieti, Italy
| | - Antonia Squarcella
- Obstetrics and Gynaecology Unit, "S. Camillo De Lellis" Hospital, 02100 Rieti, Italy
| | - Eleonora Lori
- Department of Surgery, "Sapienza" University of Rome, 00185 Rome, Italy
| | - Elisabetta Renzi
- Mother and Infant Department Unit, ASL-Rieti, 02100 Rieti, Italy
| | - Roberta Feroci
- Mother and Infant Department Unit, ASL-Rieti, 02100 Rieti, Italy
| | | | - Fabiola Ciferri
- Mother and Infant Department Unit, ASL-Rieti, 02100 Rieti, Italy
| | - Camilla Virili
- Department of Medico-Surgical Sciences and Biotechnologies, "Sapienza" University of Rome, 04100 Latina, Italy
| | - Marco Centanni
- Department of Medico-Surgical Sciences and Biotechnologies, "Sapienza" University of Rome, 04100 Latina, Italy
| | - Cristina Fabiani
- Mother and Infant Department, "Sandro Pertini" Hospital, 00157 Rome, Italy
| | - Rocco Rago
- Mother and Infant Department, "Sandro Pertini" Hospital, 00157 Rome, Italy
| | | | | | - Eleonora D'Armiento
- Department of Internal Medicine and and Medical Specialties, "Sapienza" University of Rome, 00185 Rome, Italy
| | - Vito Cantisani
- Department of Radiological and Oncological Sciences and Pathological Anatomy, "Sapienza" University of Rome, 00185 Rome, Italy
- Teleradiology Complex Unit, ASL-Rieti, 02100 Rieti, Italy
| | | | - Salvatore Ulisse
- Department of Surgery, "Sapienza" University of Rome, 00185 Rome, Italy
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Schiavi MC, Carletti V, Yacoub V, Cardella G, Luffarelli P, Valensise HCC, Palazzetti P, Spina V, Zullo MA. Evaluation of the efficacy and safety of single incision sling vs TVT-O in obese patients with stress urinary incontinence: Quality of life and sexual function analysis. Taiwan J Obstet Gynecol 2023; 62:89-93. [PMID: 36720557 DOI: 10.1016/j.tjog.2022.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2022] [Indexed: 01/30/2023] Open
Abstract
OBJECTIVES The aim of the study is to demonstrate the best stress urinary incontinence (SUI) surgical technique for women with a Body mass index higher than 30. The results of Transvaginal Tension Free Vaginal Tape-Obturator and Mini-sling surgery were analyzed and compared through both clinical examination and standardized questionnaires at 36 months of follow-up. MATERIALS AND METHODS This is a retrospective multicenter study over 159 women with SUI who underwent surgery. Seventy-eight women underwent TVT-O and 81 Mini-sling technique. Intra and post-operative complications were recorded. Patients were monitored for 36 months by analyzing symptoms, voiding diary, quality of life and sexual activity through standardized questionnaires. RESULTS Complications had a low incidence in both groups and inter-group differences were superimposable. Only groin pain was statistically higher after TVT-O than after Mini-sling (12.8% vs1.2%, p = 0.03). At 36 months of follow-up, a statistically significant decrease in Positive stress test (%) and Q-Tip test (grade) was observed in both groups with no differences between them (p = 0.54 and p = 0.32 respectively). The mean number of daily voids was higher after TVT-O (p = 0.04) than after Altis (p = 0.22) with a significant difference in favor of the Altis group (p = 0.03). After 36 months, there were no significant differences between groups in terms of quality of life and sexual activity. PGI-I did not show any difference between groups (p = 0.21). CONCLUSION TVT-O and Minisling had the same efficacy and results in the surgical treatment of SUI in obese women. Both techniques relieved their symptoms and improved their quality of life without any significant difference except for a lower incidence of post- Mini-sling complications.
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Affiliation(s)
| | - Valerio Carletti
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy.
| | - Veronica Yacoub
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
| | - Giorgia Cardella
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
| | - Paolo Luffarelli
- Department of Pelvic Floor Surgery and Proctology, "Campus Biomedico" University, Rome, Italy
| | - Herbert Carmelo Carlo Valensise
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy; Department of Obstetrics and Gynecology, "Casilino" Hospital, Rome, Italy
| | | | - Vincenzo Spina
- UOC Maternal and Child Health Protection, ASL Rieti, Italy
| | - Marzio Angelo Zullo
- Department of Pelvic Floor Surgery and Proctology, "Campus Biomedico" University, Rome, Italy
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Yacoub V, Carletti V, Grilli D, Morgani C, Palazzetti P, Zullo MA, Luffarelli P, Valensise HCC, Schiavi MC. Quality of life and sexual function analysis in a group of Italian postmenopausal women after COVID-19 vaccination. Gynecol Endocrinol 2022; 38:988-991. [PMID: 36203336 DOI: 10.1080/09513590.2022.2132224] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
AIM The aim of the study was to evaluate the impact of SARS-CoV-2 vaccination on quality of life, psychological aspect and sexual life in a group of Italian postmenopausal women during the COVID-19 pandemic. METHODS The study was a prospective, observational analysis of postmenopausal women before and after the COVID-19 vaccination. The population previously answered different questionnaires, such as the Female Sexual Function Index (FSFI), the Female Sexual Distress Scale (FSDS), the 36-Item Short Form Survey (SF-36) and the Hospital Anxiety and Depression Scale (HADS). Twelve weeks after the end of the vaccine cycle, these women were invited to complete the same questionnaires by e-mail to evaluate if vaccination coverage could positively impact the quality of life of postmenopausal women. The Patient Impression of Global Improvement (PGI-I) after three months of treatment was also calculated. RESULTS A total of 114 patients were reported. The median age was 60.96 (52-66) years. Mean sexual intercourses/month increased from 1.28 ± 1.23 to 4.21 ± 1.80 (p = 0.001). The FSFI increased (19.22 ± 3.31 vs 29.24 ± 4.21, p < 0.0001) and the FSDS decreased significantly (20.12 ± 5.23 vs 9.32 ± 5.55, p < 0.0001) 12 weeks after vaccination coverage. The SF-36 increased from 64.23 ± 11.76 to 82.21 ± 10.24 (p < .0001) and the HADS questionnaire improved significantly from 9.3 ± 2.73 to 5.1 ± 1.34 after the COVID-19 vaccine execution (p<.0001). CONCLUSIONS The spread of COVID-19 vaccine coverage positively influenced sexual function, quality of life and psychological aspect in postmenopausal women.
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Affiliation(s)
- Veronica Yacoub
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
| | - Valerio Carletti
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
| | - Debora Grilli
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
- Department of Obstetrics and Gynecology, "Sandro Pertini" Hospital, Rome, Italy
| | - Claudia Morgani
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
- Department of Obstetrics and Gynecology, "Sandro Pertini" Hospital, Rome, Italy
| | | | - Marzio Angelo Zullo
- Department of Surgery-Week Surgery, "Campus Biomedico" University, Rome, Italy
| | - Paolo Luffarelli
- Department of Surgery-Week Surgery, "Campus Biomedico" University, Rome, Italy
| | - Herbert Carmelo Carlo Valensise
- Department of Obstetrics and Gynecology, "Tor Vergata" University, Rome, Italy
- Department of Obstetrics and Gynecology, "Casilino" Hospital, Rome, Italy
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Antonaci D, Schiavi MC, Carletti V, Yacoub V, Morgani C, Grilli D, Galanti F, Ligato A, Valensise HC, Palazzetti P, Rago R. Laparoscopic stripping versus endometrioma ethanol sclerotherapy in women with endometrioma awaiting IVF: a long-term analysis of ovarian reserve and pregnancy outcome. Minerva Obstet Gynecol 2022; 74:410-418. [PMID: 35107236 DOI: 10.23736/s2724-606x.22.04977-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
AIMS The aim of this study was to compare ovarian reserve, oocytes quality and pregnancy outcome of endometrioma treatment by Laparoscopic stripping (LS) versus endometrioma ethanol sclerotherapy (EST) in infertile women awaiting in vitro fertilization (IVF). METHODS Retrospective analysis was performed. Twenty-three women underwent EST and 26 women LS. Intra- and postoperative complications were recorded. The women were followed up for 36 months for cyst recurrence, oocytes quality and pregnancy outcome. Serum Anti-Mullerian hormone (AMH) levels after treatment were measured to observe the impact on the ovarian reserve. Women's satisfaction was investigated with PGI-I. RESULTS During follow-up, there were 3 endometriomas recurrences after LS and none after EST. Six months after treatment AMH was 3.17±2.15 in EST vs 2.22±1.97 in LS, p=0.045. Symptoms' improvement was comparable. No intraoperative complications occurred. In the LS group the postoperative complications were significantly higher. After IVF cycles, the quality of the retrieved oocytes was the same. In EST group, clinical pregnancy (48.1% vs 19.6%) and live birth rates (36.5% vs 14.3%) were significantly increased compared to LS. Women's satisfaction was comparable at PGI-I. Both EST and the presence of an endometrioma sized 6 cm or less proved to be independent factors of a better live birth rate in multivariate analysis. CONCLUSIONS EST efficacy was greater than LS for endometrioma. Ovarian function was well preserved. Hospital stay was shorter, fewer complications occurred. Pregnancy outcome was better after EST.
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Affiliation(s)
- Domenico Antonaci
- Physiopathology of Reproduction and Andrology Unit, Sandro Pertini Hospital, Rome, Italy
| | - Michele C Schiavi
- Department of Obstetrics and Gynecology, Sandro Pertini Hospital, Rome, Italy
| | - Valerio Carletti
- Department of Obstetrics and Gynecology, Sandro Pertini Hospital, Rome, Italy - .,Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy
| | - Veronica Yacoub
- Department of Obstetrics and Gynecology, Sandro Pertini Hospital, Rome, Italy.,Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy
| | - Claudia Morgani
- Department of Obstetrics and Gynecology, Sandro Pertini Hospital, Rome, Italy.,Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy
| | - Debora Grilli
- Department of Obstetrics and Gynecology, Sandro Pertini Hospital, Rome, Italy.,Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy
| | - Francesco Galanti
- Physiopathology of Reproduction and Andrology Unit, Sandro Pertini Hospital, Rome, Italy.,Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy
| | - Azzurra Ligato
- Department of Obstetrics and Gynecology, Sandro Pertini Hospital, Rome, Italy.,Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy
| | - Herbert C Valensise
- Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy.,Department of Obstetrics and Gynecology, Casilino Hospital, Rome, Italy
| | | | - Rocco Rago
- Physiopathology of Reproduction and Andrology Unit, Sandro Pertini Hospital, Rome, Italy
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Schiavi MC, Zullo MA, Luffarelli P, Di Pinto A, Oliva C, Palazzetti P. Urogynecological survey in a group of Italian women treated for overactive bladder: Symptoms and quality of life analysis during the Covid-19 period. Taiwan J Obstet Gynecol 2021; 60:674-678. [PMID: 34247805 PMCID: PMC8266265 DOI: 10.1016/j.tjog.2021.05.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2020] [Indexed: 12/28/2022] Open
Abstract
Objectives The aim of this study is to assess the impact of life change and social distancing measures, during the Covid-19 outbreak, on the OAB symptoms and quality of life in women underwent different types of treatment. Materials and methods Observational survey analysis in OAB treated patients was performed. The women showed a greater than 50% improvement during specific therapy for OAB. Population had previously completed bladder diary, OAB-Q symptom, OAB HRQL scale, SF-36 and PGI-I questionnaires. Four weeks after the introduction of the restrictive measures, these women were invited to complete the same questionnaires by e-mail for new evaluation during Covid-19 outbreak. Primary endpoint was changes in number of voids/24h, urgent micturitions/24h, urinary incontinence events/24h, nocturia events. Secondary endpoints were the assessment of the change in the OAB-SF, SF-36 questionnaires and PGI-I satisfaction. Results Six hundred seventy-three patients were considered. The mean age was 63.21 ± 10.24 years. Four weeks after the start of the social distancing measures, the increase in mean number of voids/24h (7.13 ± 1.08 vs 9.76 ± 2.12, p < 0.0001), urgent micturition episodes/24h (2.65 ± 1.11 vs 4.57 ± 1.28, p < 0.0001), nocturia episodes (1.19 ± 1.21 vs 2.83 ± 0.94, p < 0.0001) was observed. The OAB symptom scores (32.67 ± 12.88 vs 51.23 ± 12.11, p < 0.0001), OAB-HRQL (75.45 ± 12.76 vs 48.23 ± 10.34, p < 0.0001), and SF-36 (82.15 ± 11.78 vs 69.39 ± 10.85, p < 0.0001) changed significantly. The satisfaction decreased significantly at the PGI-I during the Covid-19 period 79.8% vs 45% (p < 0.0001). Conclusions The Covid-19 outbreak and the restrictive social distancing measures have negatively influenced the OAB symptoms and quality of life in women underwent different types of treatment.
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Affiliation(s)
| | - Marzio Angelo Zullo
- Department of Surgery-Week Surgery, Campus Biomedico University, Rome, Italy
| | - Paolo Luffarelli
- Department of Surgery-Week Surgery, Campus Biomedico University, Rome, Italy
| | - Anna Di Pinto
- Department of Gynecological and Obstetric Sciences, and Urological Sciences, University of Rome "Sapienza", Umberto I Hospital, Rome, Italy
| | - Cosimo Oliva
- Department of Gynecological and Obstetric, San Filippo Neri Hospital, Rome, Italy
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Schiavi MC, Spina V, Zullo MA, Colagiovanni V, Luffarelli P, Rago R, Palazzetti P. Love in the Time of COVID-19: Sexual Function and Quality of Life Analysis During the Social Distancing Measures in a Group of Italian Reproductive-Age Women. J Sex Med 2020; 17:1407-1413. [PMID: 32653391 PMCID: PMC7342024 DOI: 10.1016/j.jsxm.2020.06.006] [Citation(s) in RCA: 99] [Impact Index Per Article: 24.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 06/08/2020] [Accepted: 06/10/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND The beginning of 2020 was characterized by the COVID-19 pandemic. The world governments have adopted restrictive measures to reduce the spread of infection. These measures could affect the sexual function and quality of life of women living with their partner. AIM The aim is to assess the impact of the social distancing measures caused by the COVID-19 pandemic on sexual function and quality of life of noninfected reproductive-age women, living with their sexual partner. METHODS Observational analysis on sexually active women, living with their partner, and without COVID-19 infection was performed. The population previously answered FSFI, FSDS, and SF-36 questionnaires. 4 weeks after the introduction of the restrictive measures, these women were invited to complete the same questionnaires by e-mail for an evaluation during the COVID-19 outbreak. MAIN OUTCOME MEASURES The primary endpoint was the assessment of the women's sex function change during the social restriction period, by analyzing the FSFI and FSDS questionnaires. The secondary endpoint was the evaluation of the impact on the quality of life calculated by the SF-36 questionnaire. RESULTS 89 patients were considered. The median age was 39 (28-50) years. Mean sexual intercourses/month decreased from 6.3 ± 1.9 to 2.3 ± 1.8, mean difference: -3.9 ± 1.2. FSFI decreased significantly (29.2 ± 4.2 vs 19.2 ± 3.3, mean difference: -9.7 ± 2.6) and FSDS increased significantly (9.3 ± 5.5 vs 20.1 ± 5.2, mean difference: 10.8 ± 3.4). The SF-36 showed a significant change from 82.2 ± 10.2 to 64.2 ± 11.8 4 weeks after the introduction of the restrictive measures; mean difference: -17.8 ± 6.7. The univariable analysis identified working outside the home, university educational level, and parity ≥1 as predictive factors of lower FSFI. In multivariable analysis, working outside the home and combination of working outside the home + university educational level + parity ≥1 were the independent factors of a lower FSFI. CLINICAL IMPLICATION The negative impact of the COVID-19 epidemic period on sexual function and quality of life in women shows how acute stress might affect the psychological state. Thus, psychological or sexual support could be useful. STRENGTHS AND LIMITATIONS To our knowledge, this study is the first that analyzes the change in sexual activity in women during the COVID-19 outbreak period. The limitations were the low number of the analyzed participants, psychological tests were not included, and no data were collected on masturbation, self-heroism, solitary, and nonpenetrative sex. CONCLUSION The COVID-19 epidemic and the restrictive social distancing measures have negatively influenced the sexual function and quality of life in not-infected reproductive-age women who live with their sexual partners. Schiavi MC, Spina V, Zullo MA, et al. Love in the Time of COVID-19: Sexual Function and Quality of Life Analysis During the Social Distancing Measures in a Group of Italian Reproductive-Age Women. J Sex Med 2020;17:1407-1413.
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Affiliation(s)
- Michele Carlo Schiavi
- Department of Gynecological and Obstetrics, Sandro Pertini Hospital, Rome, Italy; Department of Gynecological and Obstetrics, University "Sapienza" of Rome, Rome, Italy.
| | - Vincenzo Spina
- Department of Gynecological and Obstetrics, Sandro Pertini Hospital, Rome, Italy
| | - Marzio Angelo Zullo
- Department of Surgery-Week Surgery, Campus Biomedico University, Rome, Italy
| | - Vanessa Colagiovanni
- Department of Gynecological and Obstetrics, University "Sapienza" of Rome, Rome, Italy
| | - Paolo Luffarelli
- Department of Surgery-Week Surgery, Campus Biomedico University, Rome, Italy
| | - Rocco Rago
- Physiopathology of Reproduction and Andrology Unit, Sandro Pertini Hospital, Rome, Italy
| | - Pierluigi Palazzetti
- Department of Gynecological and Obstetrics, Sandro Pertini Hospital, Rome, Italy
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Urban G, Stentella P, Baiocco E, Scardamaglia P, Frega A, Pichi B, Palazzetti P. Post-partum recurrency rate for clinical manifestation of human papillomvirus in the ano-genital tract after second trimester laser CO2 treatment: A randomized trial. Am J Obstet Gynecol 2005. [DOI: 10.1016/j.ajog.2005.10.823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Palazzetti P, Pelle R. [Treatment of vaginal moniliasis with amphotericin B in a new pharmaceutical form and vehicle]. Minerva Ginecol 1980; 32:329-36. [PMID: 7383441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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10
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Deragna S, Palazzetti P, Eleuteri-Serpieri D, Sarazani F, Veneri R, Mogini C, Zardi O, Adorisio E. [Re-acutized latent toxoplasmosis as a demonstrated cause of current abortion and probable cause of preceding abortive pregnancies and fetal death. Study of a case]. Minerva Ginecol 1980; 32:43-47. [PMID: 7366887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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11
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Deragna S, Palazzetti P, Pelle R, Di Salvo G, Veneri R. [Significance of materno-fetal passive antibodies and practical deductions from the viewpoint of prophylaxis]. Minerva Ginecol 1977; 29:971-1004. [PMID: 609406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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12
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Valle G, Palazzetti P. [Role of teaching in the prevention of perinatal mortality]. Ann Ostet Ginecol Med Perinat 1972; 93:93-100. [PMID: 4674675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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13
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Palazzetti P, Avitto P, Pontrelli VC. [Serum mucoproteins (SMP) in relation to radical surgery with or without preoperative radium therapy for uterine neoplasms]. Minerva Ginecol 1968; 20:1491-9. [PMID: 5740774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Palazzetti P, Pontrelli VC, Avitto P. [Transaminases (GOT, GPT), aldolase and amylase in obstetrics]. Minerva Ginecol 1968; 20:1521-30. [PMID: 5740777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Palazzetti P, Pontrelli VC, Avitto P. [Observations on the serum transaminase (GOT-GPT), aldolase and amylase activities in radium-telecobalt-cytostatic therapy]. Minerva Ginecol 1968; 20:1123-36. [PMID: 5706586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Palazzetti P, Avitto P. [Apropos of an unsual disease in pregnancy: Takayasu's disease. Presentation of a clinical case]. Minerva Ginecol 1967; 19:374-9. [PMID: 5613660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Vecchione A, Palazzetti P. [Anatomoclinical considerations on a case of liposarcoma with vulvar localization]. Riv Anat Patol Oncol 1967; 31:177-93. [PMID: 5604179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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