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John Wright, PSG; The opening scene of him tossing hay was much too long, but I stuck with it 'cause I hoped it would get better. Most relevant first Newest first Most viewed first Top rated first Longest first. Retropubic versus transobturator midurethral slings for stress incontinence. Surgical treatment of anatomic defects in the external anal sphincter is an external anal sphincteroplasty. Women were less likely to report sexual activity at any age group compared with men [ 5 ]. Increase in pelvic floor muscle strength as a result of pelvic floor muscle exercises was not associated with improved sexual function as measured by the Pelvic Organ Prolapse-Urinary Incontinence Sexual Function Quesitionaire PISQa disease specific validated sexual function questionnaire [ 34 ].

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Most comprehensive studies on sexuality in older adults come from Duke University longitudinal study on aging [ 1 ], [ 2 ] and [ 3 ], followed by Matthias et al. Female pelvic floor disorders increase dramatically with age. In a study of sexually active women planning surgery for hysterectomy, severe urinary incontinence was significantly associated with decreased libido [AOR 1. Despite awareness of sexual concerns, nurses and doctors generally do not initiate discussions about sexuality with their patients [ 67 ]. Behavioral health specialists, such as a psychologist, can play an integral role in helping to facilitate communication between the patient and the provider.

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