Comparison of the Effects of Total Laparoscopic Hysterectomy and Total Abdominal Hysterectomy on Sexual Function and Quality of Life.

Autor: Beyan E; Department of Gynecology and Obstetrics, Health Sciences University, Tepecik Education and Research Hospital, İzmir 35180, Turkey., İnan AH; Department of Gynecology and Obstetrics, Health Sciences University, Tepecik Education and Research Hospital, İzmir 35180, Turkey., Emirdar V; Department of Gynecology and Obstetrics, Izmir University of Economics, Faculty of Medicine, Izmir 35575, Turkey., Budak A; Department of Gynecology and Obstetrics, Health Sciences University, Tepecik Education and Research Hospital, İzmir 35180, Turkey., Tutar SO; Department of Gynecology and Obstetrics, Giresun University, Faculty of Medicine, Giresun 28200, Turkey., Kanmaz AG; Department of Gynecology and Obstetrics, Health Sciences University, Tepecik Education and Research Hospital, İzmir 35180, Turkey.
Jazyk: angličtina
Zdroj: BioMed research international [Biomed Res Int] 2020 Dec 08; Vol. 2020, pp. 8247207. Date of Electronic Publication: 2020 Dec 08 (Print Publication: 2020).
DOI: 10.1155/2020/8247207
Abstrakt: It is known that benign gynecological diseases negatively affect sexual function. For this reason, hysterectomy provides improvement in sexual function as well as symptoms such as bleeding and pain. The effects of abdominal hysterectomy (TAH) and laparoscopic hysterectomy (TLH), which are the two most common types of hysterectomy today, are not clear. In our study, we investigated the effects of TAH and TLH on sexual function and quality of life as well as intraoperative and postoperative results. In 329 TLH and 126 TAH patients, we compared both and between themselves preoperatively and postoperatively by using the standardized and validated female sexual function index (FSFI) and European quality of life five-dimension scale (EQ-5D). In conclusion, we found that both types of hysterectomy were effective in improving sexual function, and we concluded that improvement in the laparoscopy group was statistically higher. Patients who require hysterectomy for benign gynecological reasons should be informed that TLH has a more positive effect on sexual function as well as other advantages, and if the patients' main complaint is sexual dysfunction, TLH should be preferred compared to TAH.
Competing Interests: The authors declare that they have no conflict of interest.
(Copyright © 2020 Emrah Beyan et al.)
Databáze: MEDLINE
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