Effect of simple and radical hysterectomy on quality of life - analysis of all aspects of pelvic floor dysfunction
| Autor: | Cetin Cam, Arzu Arinkan, Selçuk Selçuk, Mehmet Kucukbas, Muzaffer Seyhan Cikman, Ateş Karateke, Mehmet Resit Asoglu |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Sexual Behavior Urinary incontinence Hysterectomy Pelvic Floor Disorders Pelvic Organ Prolapse 03 medical and health sciences 0302 clinical medicine Quality of life Pelvic floor dysfunction Medicine Humans Radical Hysterectomy Retrospective Studies Gynecology 030219 obstetrics & reproductive medicine Pelvic floor business.industry Obstetrics Obstetrics and Gynecology Retrospective cohort study Pelvic Floor Middle Aged medicine.disease humanities body regions Sexual Dysfunction Physiological Sexual dysfunction medicine.anatomical_structure Treatment Outcome Urinary Incontinence Reproductive Medicine 030220 oncology & carcinogenesis Quality of Life Female medicine.symptom business |
| Zdroj: | European journal of obstetrics, gynecology, and reproductive biology. 198 |
| ISSN: | 1872-7654 |
| Popis: | Objective The impact of simple and radical hysterectomy on all aspects of pelvic floor dysfunctions was evaluated in current study. Study design This retrospective cohort study included 142 patients; 58 women (40.8%) who have undergone simple, 41 (28.8%) radical hysterectomy, and 43 (30.2%) women without any surgical intervention to serve as the control group. The validated versions of the Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), Pelvic Floor and Incontinence Sexual Impact Questionnaire (PISQ-12), Wexner Incontinence Scale score and pelvic organ prolapse quantification (POP-Q) system were used in detailed evaluation of pelvic floor dysfunction. One-way ANOVA and Pearson's chi square tests were performed in statistical analysis. Results It was found that there were significant differences in irritative and obstructive scores of UDI-6 between Type III hysterectomy group and Type I hysterectomy group. In addition, patients of Type I hysterectomy had significant higher irritative and obstructive scores than the control group. Type III hysterectomy had the most significant deteriorating effect on sexual life, based on scores of PISQ-12 compared to both Type I hysterectomy group and control group. Conclusion Hysterectomy results in detrimental effects on the quality of life (QoL) regarding all aspects of pelvic floor functions especially in women of radical hysterectomy. Urinary dysfunctional symptoms like urgency, obstruction and especially sexual problems are more bothersome and difficult to overcome. The impact of hysterectomy on QoL should be investigated as a whole and may be more profound than previously thought. |
| Databáze: | OpenAIRE |
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