Introduction
The research paper has an aim of determining the way through which the sexual function in women is affected when they undergo urinary incontinence surgery or/and the surgery of the pelvic organ prolapse. The PICO question for the research is, ‘what are the effects that women incur when they undergo urinary incontinence surgery or/and the surgery of the pelvic organ prolapse. Research shows that approximately 64% of women who are sexually active and applying to the departments of urogynaecology are incurring sexual dysfunction effects (Čadková, & Huvar, 2017). As a result, this research paper is important as it draws the attention about the continuation of the sexual function even if one undergoes urinary incontinence surgery or/and pop surgery. It also promotes the attention of improving the sexual function following incontinence or prolapse treatment. Furthermore, it is essential in providing counseling on the potential development pertaining the postoperative sexual function.
Summary of the Nursing Quantitative Research Article
From the quantitative research article, it is seen that pelvic organ prolapse surgery is accompanied by sexual function effects that vary from one another. The pelvic reconstructive type of surgery that is mainly done for the purpose of correcting the prolapse, it causes some effects to the sexual function as a result of the reasons like urinary incontinence fear, vaginal canal becoming narrow, physiological axle changes of the vagina, decrease in lubrication and also dyspareunia reasons (Dilek, et al. 2013). Another fact realized from the article is that pelvic organ prolapse problem and urinary incontinence problem are the kinds of problems that are hidden. It was also realized that every woman who undergoes urinary incontinence surgery records an improvement in the storage symptoms and in the incontinence symptoms and positive effects observed in their sexual life.
Reliability
This refers to the accuracy of the instruments that are used in the research (Cant, et al. 2013). Homogeneity reliability is observed on the distribution of the women who have undergone surgery in regards to their sexual intercourse frequency in the period of preoperative and the sixth month of postoperative. In this case, no statistical difference was observed. On the behavioral status of the women in the group of UI, we find that there was no any significant recorded in the preoperative period and in the sixth month of the postoperative period. This is an illustration of stability reliability. For the group of women in UI + POP level, also no significant difference was recorded which shows equivalence reliability.
Validity
This is the extent to which a given concept is accurately measured in the research (Cant, et al. 2013). The first case we look at this case is content validity. We find that the research has covered all the contents respect to the title of the research which proves that there is the continuation of sexual function following a UI surgery or a POP surgery. Also, the research shows that urinary incontinence problem and pelvic organ prolapse problem are hidden problems illustrating construct validity. When figuring out the conducted randomized trials and then comparing them with the SUI surgical techniques, the urination difficulties were less recorded in the TOT level. This is a good illustration of criterion validity.
Strength and Weakness of the Quantitative Research Article
The quantitative research article is relevant to the title as it draws an attention to it and provides an essential awareness to the health professionals. As per the research, the health professionals are supposed to assess the urinary incontinence effects and/or the pelvic organ effects, do an evaluation and a comparison of the results following a surgical treatment or before it. The major weakness is that the research only made a follow up of women up to 6 months following the surgical treatment. This can be considered to be such long enough in fully recovering and figuring out whether the sexual function has a possibility of changing.
Clinical Practice Guideline
One fact realized in the clinical practice guideline is that anatomic outcomes are not in a position of all the adequate information required pertaining the safety and the efficacy of pelvic reconstructive surgery. This is because its clinical significance is limited. Secondly, pelvic surgery is capable of affecting the sexual function as a result of pain, the introitus narrowing, clitoris denervation and body image change. Furthermore, there are other factors that are capable of affecting the sexual function quality like the age of the women, the availability of her partner, the health of the women, and her psychosocial factors (Mørkved, & Bø, 2013).
There is a record of sexual function improvement if there parallel improvement of incontinence. This is normally realized in women following an SUI surgical correction at the 6-month after a process of surgery. This is as a result of less loss of urine and less urine leakage during sexual intercourse. Moreover, research shows that the women who have passed urinary incontinence surgery or pelvic organ prolapse surgery have high chances of suffering the effects of recurrence. This condition is normally observed amongst the old women whereby the risk of experiencing pop surgery or the pelvic organ prolapse surgery is around 11% up to the age of 80 years. Furthermore, it is realized that a number of postoperative complications that are also common can be avoided by giving the preoperative management, postoperative management, and the intraoperative management the special attention (Jha, 2017).
Conclusion
The research paper has achieved its main of determining the way through which the sexual function in women is affected when they undergo urinary incontinence surgery or/and the surgery of the pelvic organ prolapse. From the quantitative research article, it is realized that the symptoms of the urinary tract affecting the women are improved and their associated sexual function changed in a positive way at the sixth month following the urinary incontinence surgery and/or the pelvic organ prolapse surgery. As per the results found, provision of counseling services concerning the potential growth of the postoperative sexual function including the associated possibility of sexual function impairment for the category of women who are undergoing pelvic organ surgery or/and urinary incontinence surgery.
Recommendations
A preoperative assessment for the women who are undergoing pelvic organ prolapse surgery or/and urinary incontinence surgery is required to come with a detailed history of the main and the minor symptoms that are likely to affect them. Also, it must entail the respective defecatory type of symptoms and the related sexual function. Furthermore, a counseling related to the functional outcomes that are detailed and preoperative is required to be offered to the patients who are about to undergo pelvic organ prolapse surgery and/or urinary incontinence surgery.
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