Is the Uterus a Sexual Organ? Sexual Function Following Hysterectomy

Thakar, Ranee

doi:10.1002/smrj.59

Cited by 34 publications

(30 citation statements)

References 97 publications

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“…Hysterectomy alters the anatomic relationships, innervation, and blood supply of the pelvic floor, which could theoretically alter sexual function (29). Although several previous studies have suggested that sexual function is often improved after hysterectomy for benign uterine disease due to alleviation of symptoms (10-16), a large minority of patients with benign disorders of the uterus exhibit a worsening of sexual function after hysterectomy (17)(18)(19). Indeed, Goktas et al observed that total hysterectomy and bilateral salpingo-oophorectomy in women with benign disease led to a deterioration in sexual function, which was assessed using the Female Sexual Function Index (20).…”

Section: Discussionmentioning

confidence: 99%

“…Most studies have reported that hysterectomy for benign diseases results in an overall improvement in sexual function (10)(11)(12)(13)(14)(15), likely because of the alleviation of symptoms such as abnormal uterine bleeding and pelvic pain (16). However, around 20-40% of patients with benign disease experience a worsening of sexual function after hysterectomy (17)(18)(19), and one study even showed an overall worsening of sexual function (20). Furthermore, clinical studies of women with malignant disease have consistently reported a worsening of sexual function after hysterectomy (21)(22)(23)(24)(25)(26), and hysterectomy was found to be a factor associated with poorer sexual function in middle-aged women (27).…”

Section: Introductionmentioning

confidence: 99%

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Sexual function after total laparoscopic hysterectomy or transabdominal hysterectomy for benign uterine disorders: a retrospective cohort

Wang

Xiao

2020

Braz J Med Biol Res

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The objective of this study was to evaluate changes in sexual function after total laparoscopic hysterectomy (TLH) or transabdominal hysterectomy (TAH). This retrospective cohort study included patients with benign uterine tumors that were divided into TLH group and TAH group based on the hysterectomy technique used. Baseline, intraoperative, and postoperative characteristics were compared between groups. Postoperative sexual function was assessed using the Brief Index of Sexual Functioning for Women. The TLH and TAH groups contained 119 patients (age, 51.5±6.1 years) and 126 patients (age, 50.0 ± 4.7 years), respectively. Baseline characteristics were comparable between groups, although uterine size was larger in the TAH group (Po0.001). Compared with the TAH group, the TLH group had a longer operative time (130.0 ± 36.2 vs 107.3 ± 28.5 min, Po0.001), lower pain index at 24 h (2.0 ± 1.6 vs 4.0 ± 2.6, Po0.001), and shorter hospitalization time (5.7 ± 1.1 vs 8.1 ± 1.2 days, Po0.001). Many patients in the TLH and TAH groups reported decreased satisfaction with their sexual life (67.5 and 56.0%, respectively), reduced frequency of sexual activity (70.1 and 56.0%, respectively), decreased libido (67.5 and 56.0%, respectively), orgasm dysfunction (42.9 and 42.9%, respectively), and increased dyspareunia (77.9 and 85.7%, respectively). However, there was no significant difference between groups in any of the indexes of postoperative sexual function (P40.05). Both TLH and TAH had comparable negative effects on sexual function in women treated for benign uterine tumors in China, with a decreased frequency of sexual activity, reduced libido, orgasm dysfunction, and increased dyspareunia.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sexual function after total laparoscopic hysterectomy or transabdominal hysterectomy for benign uterine disorders: a retrospective cohort

Wang

Xiao

2020

Braz J Med Biol Res

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“…Concern about sexual function is an important cause of anxiety for women who have undergone hysterectomy, and the influence of this procedure on female sexuality is a controversial topic. Studies suggest that hysterectomy does not affect or positively affect female sexuality 17,18 , while others claim that the procedure causes decline in sexual function 19,20 .…”

Section: Discussionmentioning

confidence: 99%

Função sexual e incontinência urinária por esforço em mulheres submetidas à histerectomia total com ooforectomia bilateral

et al. 2020

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RESUMO O objetivo deste artigo é avaliar o índice de função sexual de mulheres submetidas à histerectomia total com ooforectomia bilateral (HT-OB), a prevalência de incontinência urinária por esforço (IUE) e sua associação com a realização desse procedimento cirúrgico em um hospital de referência em Belém (PA). Foram incluídas 162 mulheres, com vida sexual ativa, alocadas em dois grupos: aquelas que realizaram HT-OB em período superior a 12 meses (n=68), e aquelas que não realizaram (n=94). Utilizou-se o questionário female sexual function index (FSFI) para avaliação da função sexual, e um questionário desenvolvido pelos pesquisadores para coletar dados sociais, econômicos e clínicos, incluindo informações quanto à presença de IUE. O valor de significância foi definido como p<0,05. Houve diferença significativa no índice de função sexual entre o grupo HT-OB e o grupo-controle, com escore geral do FSFI de 23,56 e 28,68, respectivamente (p=0,0001). Os domínios desejo, excitação, lubrificação (p<0,0001), orgasmo (p=0,04), satisfação (p=0,0006) e dor (p=0,015) apresentaram escores inferiores em mulheres histerectomizadas. A prevalência de sintomas de IUE no grupo HT-OB foi de 35,3%, sendo observada associação significativa entre a presença desses sintomas e a realização da histerectomia (p=0,02). Mulheres que realizam HT-OB têm maior risco de disfunção sexual, e este procedimento cirúrgico é associado ao desenvolvimento de IUE.

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“…The incidences computed for postoperative complications in this study are higher than the numbers designated by previous studies. For instance, voiding problem was detected in 3.2% of women who had concomitant TOT procedure and vaginal surgery in a study [28]. Such discrepancy can be explained by the variations in demographic and clinical characteristics of the patients as well as differences in surgical techniques.…”

Section: Discussionmentioning

confidence: 99%

“…It has been concluded that sexual function after hysterectomy is usually unchanged or improved [28]. On the contrary, the incidence of dyspareunia was found to be as high as 50% in women who underwent transvaginal hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

Two-Year Follow-Up Results of Transobturator Tape Procedure with and without Concomitant Vaginal Surgery

et al. 2018

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Objective: This study aims to evaluate the subjective and objective outcomes of the transobturator tape (TOT) procedure performed to treat stress urinary incontinence and to determine the efficacy and safety of the TOT procedure when used along with vaginal surgery. Methods: This is a prospective review of 24 women who had the TOT procedure done only due to stress incontinence; 22 women who underwent concomitant TOT and pelvic floor repair; and 20 women who received concurrent TOT, transvaginal hysterectomy, and sacrospinous ligament fixation. Results: When compared to the patients who had TOT with pelvic floor repair, the patients who underwent TOT with hysterectomy declared to have more dyspareunia (p = 0.008) and they were found to have significantly higher post-void residual volume (p = 0.014). When compared to the patients who had only TOT, the patients who underwent TOT with hysterectomy claimed to have more pelvic pain (p = 0.012) and significantly higher post-void residual volume (p = 0.020). Conclusion: The TOT procedure results in moderately high objective cure rates, and concurrent application of pelvic floor repair or transvaginal hysterectomy does not affect these rates. The relatively higher incidences for voiding problems and pelvic pain in women who underwent TOT, hysterectomy, and sacropinous fixation simultaneously suggest that the extent of surgery directly correlates with the severity of postoperative complications.

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Is the Uterus a Sexual Organ? Sexual Function Following Hysterectomy

Cited by 34 publications

References 97 publications

Sexual function after total laparoscopic hysterectomy or transabdominal hysterectomy for benign uterine disorders: a retrospective cohort

Sexual function after total laparoscopic hysterectomy or transabdominal hysterectomy for benign uterine disorders: a retrospective cohort

Função sexual e incontinência urinária por esforço em mulheres submetidas à histerectomia total com ooforectomia bilateral

Two-Year Follow-Up Results of Transobturator Tape Procedure with and without Concomitant Vaginal Surgery

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