Female sexual function in urological practice

Abstract

In this thesis we describe in chapter two the evaluation of female sexual function in an outpatient urologic clinic related to different urological complaints. Sexual abuse appeared to be a quite frequent problem in urological practice. In chapter three sexual abused patients are evaluated in relation to their pelvic floor complaints in order to estimate which patients are prone to have a history of sexual abuse. Chapter four reports an evaluation of a self-administered questionnaire versus a taken questionnaire administered by a pelvic floor clinician in relation to sexual abuse in patients with pelvic floor complaints. In chapter five and six we describe the influence of incontinence surgery on sexual function.. Also some novel questions are introduced to get more neuro-sexuological specific information after the incontinence operation. In chapter seven we evaluate the female sexual function and activity following cystectomy. In order to diminish the impact of a cystectomy procedure on sexual function, the effect of a partial cystectomy procedure of a 32-year-old woman with radiation cystitis is described in chapter eight.