Abstract
Objective:To investigate whether there were any differences in the quality of life, sexual function, and self-esteem of patients who underwent total laparoscopic hysterectomy (TLH) (n=42) and total abdominal hysterectomy (TAH) (n=42).Materials and Methods:All premenopausal patients who underwent TLH or TAH because of benign uterine disorders were enrolled. The sexual function and quality of life status were assessed preoperatively and 6 months postoperatively using three standardized validated questionnaires: the Arizona Sexual Experiences Scale (ASEX), the Symptom Checklist-90-Revised (SCL-90-R), and the Rosenberg Self-Esteem Scale (RSES).Results:Preoperative ASEX, SCL-90-R and RSES scores were not different among the hysterectomy subgroups. The postoperative SCL-90-R scores were also not different among the hysterectomy subgroups. The postoperative RSES scores were significantly lower (p<0.05) than the preoperative scores for all procedures (indicating improved self-esteem) but did not differ among the groups. The postoperative ASEX scores were significantly decreased (p<0.01) as compared with the preoperative scores (indicating improved sexual function). When the average score of each item of the ASEX score was compared in both groups, significant differences were observed in sexual drive and arousal in the laparoscopy group (p<0.01).Conclusion:Women undergoing TLH for benign uterine disease may have better outcomes related to certain sexual function parameters than women undergoing TAH.
Highlights
Hysterectomy is one of the most common gynecologic operations performed in developed countries and is usually performed for benign disorders[1,2]
Objective: To investigate whether there were any differences in the quality of life, sexual function, and self-esteem of patients who underwent total laparoscopic hysterectomy (TLH) (n=42) and total abdominal hysterectomy (TAH) (n=42)
When the average score of each item of the Arizona Sexual Experiences Scale (ASEX) score was compared in both groups, significant differences were observed in sexual drive and arousal in the laparoscopy group (p
Summary
Hysterectomy is one of the most common gynecologic operations performed in developed countries and is usually performed for benign disorders[1,2]. Sexual function and the quality of life have been the focus of many recent studies. Investigation of the effects of hysterectomy performed for benign indications on sexual function and postoperative quality of life have led to varied results. The rapid progress made in laparoscopic surgery over the past 20 years has been a crucial development in gynecologic surgery and plays a role in the determination of treatment[6]. Studies investigating postoperative psychological effects and effects on sexual function are limited. We conducted a prospective cohort trial investigating the advantages and potential drawbacks regarding the sexual function of patients who underwent laparoscopic and abdominal hysterectomy. Our goal was to investigate whether there were any differences in the quality of sexual function postoperatively
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