Impact de la promontofixation cœlioscopique pour prolapsus des organes pelviens sur la sexualité et la qualité de vie (notice n° 1010670)
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| control field | 20250125140624.0 |
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| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Naouar, S. |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Impact de la promontofixation cœlioscopique pour prolapsus des organes pelviens sur la sexualité et la qualité de vie |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2019.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 14 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | AimTo examine the desire for a baby “if I want and when I want” through the feminist movement, the reasons why women want to delay the arrival of a baby which require us to better understand the changes that have taken place in society, affecting the desire for a baby, and raising a very specific public health issue, but seen by society as an entitlement, free-choice, a form of liberty. This modification in our behaviour is in turn reflected in the politics of the nation and has become the subject of much controversy in bioethical circles. MethodologyUsing data from INSEE, 2011–2017 and our experience, we analysed the impact of late pregnancies on fertility, the consequences for the mother and her unborn child, the factors behind the desire for a baby late in life. Age is the enemy of women. Artificial conception (data from the biomedical agency, FIVNAT) cannot offset the effects of age. The birth rate in women aged over 40 has doubled in 20 years, and is growing at an exponential rate, and receiving enormous attention from the media (pregnant celebrities). ResultsThe main risk for a woman who decides to wait before thinking about a baby, is to never have a baby at all. The consequences for the mother and the unborn child are not trivial: increased number of miscarriages, chromosomic abnormalities, difficult pregnancies, higher rate of maternal mortality, and for the child, a higher rate of premature births. (Epidemiology of fertility: B Rossin, gynécologie & obstétrique pratique no287, sept 2016, and Procédure de suivi d’une cohorte d’enfant FIV : revue de d’épidémiologie et de santé publique no2, avril 2011, vol 59 pp, 97–106). Why this desire to wait before having a baby? Contraception, serious relationships later in life, studies, career, divorce and remarriage, financial problems (having a baby is expensive, unemployment, housing), leisure time, reduced influence of religion in our western societies, are all factors, in a fast-paced society, time passes without necessarily considering one's biological clock. Being young is the fashion (denial, dreams). We all want to stay young or become young again, and stay in good shape. Our longer life expectancy complicates things still further. In parallel we can see an increase in the number of single individuals and the demand for pregnancy from single women using sperm donation. DiscussionWhat solution can we propose? In the bible, the desire to have a baby was seen as a legitimate desire. Sarah, Abraham's wife, found the ideal solution for the time: “come hither, servant, I will have a baby through you”: surrogate mothers with oocyte donation. Today the solution has to be found by the public authorities in their public health policies, including information, prevention, supported by scientific progress (conservation of oocytes, genetic diagnosis, gamete donation, and in the near future, artificial gametes, scientific or reproductive cloning, ovary rejuvenation. ConclusionThe desire for pregnancy late is life has difficulty in accepting failure. We turn to science for a solution, and science in turn looks to society. Sexuality could well become destabilised in all this disruption: the sexuality of failure to reproduce, the sexuality of substitution, violated sexuality, desire's role could be totally undermined. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | ObjectifÉvaluer l’impact de la promontofixation cœlioscopique sur la sexualité et la qualité de vie à moyen terme. MéthodesÉtude observationnelle, analytique et transversale menée auprès de 30 femmes ayant eu une promontofixation cœlioscopique pour un prolapsus des organes pelviens de grade≥2 (Baden et Walker). Des auto-questionnaires validés ont été utilisées afin d’évaluer l’impact de cette technique sur la sexualité (PISQ-12) et la qualité de vie (PFIQ-7). RésultatsL’âge moyen des patientes a été de 58,1±7,2 ans. Le taux de succès anatomique (grade 0 ou 1) était de 100 % à 3 mois et au moment de l’étude avec un recul moyen de 37 mois (36–48 mois). Une amélioration statistiquement significative des scores du PFIQ-7 ( p<0,001) et du PISQ-12 ( p=0,001) a été enregistrée au moment de l’étude. ConclusionLa promontofixation cœlioscopique a un impact positif sur la qualité de vie et la sexualité à court et à moyen terme. ObjectiveTo evaluate the impact of laparoscopic promontofixation on sexuality and health-related quality of life and sexuality. MethodsA study was carried out including 30 women presented with at least stage 2 pelvic organ prolapse (Baden and Walker) who underwent laparoscopic promontofixation. Sexual function and health-related quality of life were evaluated using the Pelvic Incontinence Sexual Questionnaire (PISQ-12) and the Pelvic Floor Impact Questionnaire (PFIQ-7), respectively. ResultsThe patients’ mean age was 58.1±7.2 years. The anatomical success rate (stage 0 or 1) was 100% at 3 months and at the moment of the study with a mean follow-up of 37 months (36–48 months). PISQ-12 and PFIQ-7 scores were significantly improved at the moment of the study ( P<0.001 and P=0.001, respectively). ConclusionLaparoscopic promontofixation improves sexuality and quality of life at short and medium terms. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Prolapsus |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Qualité de vie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Promontofixation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cœlioscopie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Sexualité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Laparoscopy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Promontofixation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Prolapse |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Quality of life |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Sexuality |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Khribi, Mayssoune |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Manaï, Jihenne |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Braiek, Salem |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | El Kamel, Rafik |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Sexologies | 28 | 2 | 2019-02-01 | p. 54-58 | 1158-1360 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sexologies-2019-2-page-54?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sexologies-2019-2-page-54?lang=fr&redirect-ssocas=7080</a> |
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