Objective To evaluate and compare postoperative sexual functioning following total (TH) versus subtotal hysterectomy (STH). Design A longitudinal, prospective and comparative study in women undergoing hysterectomy for benign diseases in Ibn El Jazzar Hospital, Kairouan in Tunisia. Sample Sixty women undergoing hysterectomy for benign disease. Main outcome measures Sexual functioning evaluation using the Arizona Sexual Experiences Scale (ASEX) and Female Sexual Function Index (FSFI) before the operation and after 6 months. Results Following surgery, significant improvement in sexual functioning according to both scales. In fact, the mean total score of the ASEX scale went from 25.14 to 21.15 and from 11,99 to 19,31 for the FSFI. The average time to resume sexuality postoperatively was 50 days. No significant difference was found in these results between total and subtotal hysterectomy. Conclusion Hysterectomy, whether total or subtotal, has a positive impact on the overall sexual satisfaction of the patients especially in those with an impaired sexuality before surgery. There were no statistically significant differences in sexual function between the two groups TH versus STH. Therefore, cervix preservation for the purpose of improving overall sexual satisfaction cannot be recommended.
Background As with any surgical procedure, several complications can arise during the hysterectomy. A complication that has been documented in the literature is a detrimental effect on sexual performance. On the other hand, this surgical procedure resulted in better sexual functioning according to other studies. These findings made the topic a matter of controversy which inspired us to carry out this study. Objective The aim of this study was to evaluate and compare sexual functioning in women undergoing total (TH) and subtotal hysterectomy (STH). Methodology A longitudinal, prospective and comparative study in women undergoing hysterectomy for benign diseases (N=60). Sexual dysfunction was evaluated by means of the Arizona Sexual Experiences Scale (ASEX) and Female Sexual Function Index (FSFI) before the hysterectomy and after 6 months. The sociodemographic and clinical parameters were examined using the patient's medical records. Results Following surgery, significant improvement in sexual functioning according to both scales. In fact, the mean total score of the ASEX scale went from 25.14 to 21.15 and from 11,99 to 19,31 for the FSFI. The average time to resume sexuality postoperatively was 50 days. No significant difference was found in these results between total and subtotal hysterectomy. Conclusion Hysterectomy, whether total or subtotal, has a positive impact on the overall sexual satisfaction of the patients especially in those with an impaired sexuality before surgery. There were no statistically significant differences in sexual function between the two groups TH versus STH. Therefore, cervix preservation for the purpose of improving overall sexual satisfaction cannot be recommended.
Background The coronavirus 2019 (COVID-19) pandemic has caused a worldwide health crisis. In Tunisia, this large-scale health crisis urgently triggered the restructuring and reorganization of health services to support Emergency Departments, intensive care units, and continuing medical care units. Concerns about the mental health, psychological adjustment, and recovery of health care workers treating and caring for are now emerging. The objective was to assess the psychological impact of the Covid-19 pandemic on health care workers' work, psychological outcomes, and return to work. Methods Our study is a retrospective monocentric clinical trial. It is performed between June and July 2022 using a self-administered questionnaire to assess: (i) the impact on their work; (ii) the psychological consequences of the Covid-19 epidemic for health care workers. Results We collected 140 responses from 73 nurses (34.76%), 23 public health physicians (10.95%), 15 health technicians (7.14%), 13 residents (6.19%), 7 interns (3.33%), 5 workers (2.38%), and 4 medical specialists (1.90%). The HAD score for depression favoured certain symptomatology in most cases (n = 72, 51.43%) and certain symptomatology in most cases (n = 73, 52.14%) for anxiety. Conclusions The Covid-19 pandemic has brought about changes in the work organization and an overall increase in the workload for health care personnel.
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