gewaarwording van urine-continentie Absence of genital sensation due to lower spinal lesion or spina bifida
Conditions
Interventions
Nerve transposition (ilioinguinal nerve to the dorsal nerve of the clitoris /
pudendal nerve) during an operation under local anesthesia (spinal block) or
general anesthesia.
Sponsors
Isala Klinieken
Eligibility
Age
16 Years to 64 Years
Inclusion criteria
Inclusion criteria: -Women with a (traumatic) low spinal lesion or spina bifida below L1 who have no sensation in the clitoris and vaginal surface but with normal groin sensation.
Exclusion criteria
Exclusion criteria: - Spinal lesion above L1 and - diminished or absent groin sensation - negative sexual experiences - psychologically unstable (estimated by our sexologist on the basis of HADS/SCL-90 questionaries) -intact clitoral/vaginal wall sensation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients will be evaluated pre-operatively and four times postoperatively (at 2weeks, 6,12 and 18 months): - Neurological sensory tests for touch and temperature stimuli - Quantitative fine-touch sensitivity will be determined using Semmes-Weinstein monofilaments | — |
Secondary
| Measure | Time frame |
|---|---|
| Psychological functioning and sexuality will be evaluated pre-operatively and once postoperatively (at 18 months) by using: - the Hospital Depression and Anxiety Scale (HADS) questionnaire to determine the patients* level of distress - the Symptom Check list-90-R (SCL90-R) to measure psychoneuroticism. - the Groninger Arousability Scale (GAS)16 to assess the patients ability to experience the stages of the sexual response cycle. - FSDS-R *proxy*measure voor sexual distress - FSFI a questionnary for sexually active women - SESII-W an inhibition / excitation questionnary These tests will be measured by a clinical psychologist trained in sexuology | — |
Countries
Netherlands
Outcome results
None listed