Abstract
Objective: To evaluate selected quality of life parameters among sexually active patients who underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH-BSO) for benign symptomatic disease. Materials and Methods: Fifty-six TAH-BSO patients (20 menopausal + 36 premenopausalhysterectomized women) were evaluated between September 2017 and May 2018 using the FSFI, ASEX and SF-36 scores with individual interviews before and six months after TAH + BSO surgery. Results: The preoperative and postoperative period scores from three different validated questionnaires were found to be significantly different for all patients. Scores in the postoperative periods were better in all patients. Also, scores in the preoperative and postoperative periods were higher among premenopausal patients than menopausal patients. Conclusion: Our results showed that sexual function and quality of life improved in all patients who underwent TAH-BSO for benign symptomatic disease. Also, menopausal status is very important.
Highlights
Hysterectomy is a commonly performed major surgical procedure in gynecology and is often performed together with bilateral salpingooophorectomy in necessary patients [1, 2]
Hysterectomies are performed for gynecological problems such as dysfunctional uterine bleeding, leiomyoma, endometriosis, severe pelvic infections and pain, uterine rupture, uterine prolapse, and gynaecologic malignant tumors [3, 4, 5]
Quality of life is adversely affected by the severity of these symptoms, leading women to seek surgical treatment
Summary
Hysterectomy (surgical removal of the uterus) is a commonly performed major surgical procedure in gynecology and is often performed together with bilateral salpingooophorectomy in necessary patients [1, 2]. Hysterectomies are performed for gynecological problems such as dysfunctional uterine bleeding, leiomyoma, endometriosis, severe pelvic infections and pain, uterine rupture, uterine prolapse, and gynaecologic malignant tumors [3, 4, 5]. In women with benign uterine diseases, many symptoms such as physical and menstrual symptoms, pain, emotional and sexual dysfunction can occur and may reduce their quality of life and general health [6, 7]. While most hysterectomies are done for benign symptomatic disease to improve quality of life, the surgery itself may cause some postoperative problems [8,9,10]. They should be counseled by their doctor about their medical condition, reason for surgery, the planned surgical procedure, the expected recovery process, and any potential long-term problems [11]. Other non-clinical factors may influence this decision including the opinion and attitude of the patient’s partner [12]
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