Sexuality after total vs. subtotal hysterectomy

Zobbe, Vibeke; Gimbel, Helga; Andersen, Birthe Margrethe; Filtenborg, Thomas; Jakobsen, Kristian; Sørensen, H.; Toftager-Larsen, Kim; Sidenius, Katrine; Møller, Nini; Madsen, Ellen Merete; Vejtorp, Mogens; Clausen, Helle V.; Rosgaard, Anni; Gluud, Christian; Ottesen, Bent; Tabor, Ann

doi:10.1080/j.0001-6349.2004.00311.x

Cited by 18 publications

(30 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, El-Thouky [89,90] found that both TAH and STAH significantly reduced postoperative dyspareunia, with a significantly higher reduction in the STAH group, and a higher frequency of orgasm in the STAH group. However, these conclusions were not supported by recent randomized controlled trials [91,92]. The belief that the cervix is necessary to achieve orgasm or that TAH leads to local innervation damage with subsequent impairment of sexual function is not supported by current evidence.…”

Section: Hysterectomycontrasting

confidence: 48%

Female sexual dysfunction

2007

View full text Add to dashboard Cite

Female sexual dysfunction is a common problem with detrimental effects on woman's quality of life. It also has an economical and societal impact. It is defined as disorders of sexual desire, arousal, orgasm, and sexual pain, which lead to personal distress. The etiology of sexual dysfunction is frequently multifactorial as it relates to general physical and mental well-being, quality of relationship, past sexual functioning, social class, education, employment, life stressors, personality factors, the presence of a sexual partner, and partner's age and health. It is very important to adopt the most efficient approach to gather information, and this may be achieved via standardized questionnaires or open-ended questions. Therapy should be tailored according to the patient's needs and may involve a multidisciplinary team approach including psychosexual counselor/sexologist/therapist and the physician. There is still more work needed to optimize the care of women with this problem. Priority should be given to international standardization and training of health care professionals.

show abstract

Section: Hysterectomycontrasting

confidence: 48%

Female sexual dysfunction

2007

View full text Add to dashboard Cite

show abstract

“…Pour certains auteurs, il n'y a pas d'avantage à conserver le col pour la sexualité , et ils pré conisent de tenir compte de la pré fé rence des patientes dans le choix opé ratoire à cause de son impact psychologique [24,[36][37][38].…”

Section: Discussionunclassified

“…Il n'a pas é té mis en é vidence de consé quences né gatives directement lié es à la technique opé ratoire (hysté rectomies totale ou subtotale) [17,[24][25][26].…”

Section: Introductionunclassified

Étude de la sexualité des femmes après hystérectomie totale versus subtotale par voie cœlioscopique au CHU de Nantes

Ge¹,

Vaucel²,

Jarnoux³

et al. 2015

Gynécologie Obstétrique & Fertilité

View full text Add to dashboard Cite

“…This operation permits the restoration of the anatomical position of the vaginal apex, hence the conservation of the prolapsed uterus [21]. Preservation of the uterus was lately shown to contribute positively to the patient's self-esteem, body image, confidence, and sexuality [28][29][30][31][32][33][34].…”

Section: Discussionmentioning

confidence: 99%

Conservation of the prolapsed uterus is a valid option: medium term results of a prospective comparative study with the posterior intravaginal slingoplasty operation

Neuman

Lavy

2006

Int Urogynecol J

View full text Add to dashboard Cite

It has been reported that, by the age of 80, the risk of women to undergo surgery for the treatment of pelvic organ prolapse (POP) exceeds 10%, a percentage expected to increase with the rise in life expectancy. The vaginal approach for POP reconstructive operations is associated with fewer complications and results in a shorter rehabilitation period than the abdominal route, whereas hysterectomy is widely performed concomitantly whenever the uterus is significantly prolapsed. However, there is no clear evidence supporting the role of hysterectomy in improving surgery outcome. We present our experience with a new minimally invasive procedure--the posterior intravaginal slingplasty (PIVS) for correction of advanced uterine prolapse--at the same time, comparing additive vaginal hysterectomy to uterine preservation, to evaluate the therapeutic significance of hysterectomy when vaginal apical prolapse is reconstructed with PIVS. Seventy-nine women presenting with moderate to severe uterine prolapse were enrolled into the current PIVS study. Vaginal hysterectomy was concomitantly performed upon patient's request (44 patients), whereas those wishing to preserve their uterus underwent reconstructive surgery only (35 patients). No intraoperative or postoperative major complications were recorded during an average follow-up of 29.8 months: One patient (1.3%) presented with surgical failure, whereas 71 (89.9%) of the operated patients reported satisfaction with the therapeutic results. Bladder overactivity symptoms declined from three thirds of the patients preoperatively to below 10% postoperatively. Ten (12.7%) patients had vaginal tape protrusion; all underwent segmental tape resection at the out-patient clinic. Because the PIVS procedure does not require either laparotomy or deep transvaginal dissection, as previously required for operative intervention, the hospitalization period was relatively short: 4.2 days for the hysterectomy group and 1.5 for the non-hysterectomy group. Other statistically significant differences between the hysterectomy and non-hysterectomy groups were the average ages (63.5 vs 51.0 years, respectively) and concomitant surgery (87% vs 69%, respectively, the higher percentage due to additive amputation of elongated uterine cervices). No other significant differences were recorded. The current results support the previously reported efficacy, safety, and simplicity of the PIVS procedure as well as the legitimacy of uterine preservation. Moreover, unstable bladder symptoms were found to be improved after this operation. However, long-term data are required to be able to draw solid conclusions concerning the superiority of the discussed operation.

show abstract

Sexuality after total vs. subtotal hysterectomy

Cited by 18 publications

References 0 publications

Female sexual dysfunction

Female sexual dysfunction

Étude de la sexualité des femmes après hystérectomie totale versus subtotale par voie cœlioscopique au CHU de Nantes

Conservation of the prolapsed uterus is a valid option: medium term results of a prospective comparative study with the posterior intravaginal slingoplasty operation

Contact Info

Product

Resources

About