To Preserve or Not To Preserve: A Prospective Cohort Study on the Role of the Cervix in Post-Hysterectomy Sexual Functioning.

Autor:	Ferhi M; Psychiatry, Ibn El Jazzar University Hospital, Kairouan, TUN., Marwen N; Obstetrics and Gynecology, Ibn El Jazzar University Hospital, Kairouan, TUN., Abdeljabbar A; Obstetrics and Gynecology, Ibn El Jazzar University Hospital, Kairouan, TUN., Mannai J; Psychiatry, Ibn El Jazzar University Hospital, Kairouan, TUN.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 07; Vol. 16 (9), pp. e68876. Date of Electronic Publication: 2024 Sep 07 (Print Publication: 2024).
DOI:	10.7759/cureus.68876
Abstrakt:	Background Hysterectomy remains the most commonly performed gynecologic procedure worldwide, undertaken primarily for benign pathologies. The choice between total hysterectomy (TH) and subtotal hysterectomy (STH) has been debated, particularly with respect to its impact on sexual functioning (SF). Objective This study aimed to assess the impact of TH versus STH on SF and to determine whether preservation of the cervix in STH offers advantages in terms of postoperative SF. Methods A prospective cohort study was conducted at Ibn El Jazzar University Hospital, Kairouan, Tunisia, involving women aged 40 to 65 years who underwent hysterectomy for benign conditions between January 2, 2020, and December 31, 2021. SF was evaluated using the Arizona Sexual Experiences Scale (ASEX) and the Female Sexual Function Index (FSFI) before and six months after surgery. Statistical analyses were performed using SPSS version 26. Results Sixty women were included, with 30 undergoing TH and 30 undergoing STH. Postoperative evaluations revealed improvements in SF in both groups without statistically significant differences between TH and STH in terms of SF scores or the timeline for resuming sexual activity. Conclusions Hysterectomy, regardless of the technique used, appears to have a positive impact on SF, largely attributed to symptomatic relief. Therefore, the choice between TH and STH should consider factors beyond potential differences in SF outcomes. Women considering hysterectomy for benign indications should be informed of these findings to aid in the decision-making process regarding their surgical options. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. The Ethics Committee of the Ibn El Jazzar University Hospital issued approval 4523. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Ferhi et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu