Respective consequences of abdominal, vaginal, and laparoscopic hysterectomies on women's sexuality

被引:45
作者
Ayoubi, JM [1 ]
Fanchin, R
Monrozies, X
Imbert, R
Reme, JM
Pons, JC
机构
[1] CHU Toulouse, Fed Serv Gynecol Obstet, Dept Gynecol & Obstet, F-31052 Toulouse, France
[2] Hop Antoine Beclere, Dept Obstet & Gynecol, Clamart, France
[3] Univ Hosp, Dept Gynecol & Obstet, Grenoble, France
来源
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2003年 / 111卷 / 02期
关键词
sexuality; hysterectomy; dyspareunia; laparoscopy;
D O I
10.1016/S0301-2115(03)00213-6
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To determine the relative effects of abdominal, vaginal or laparoscopic approaches for hysterectomy on female sexuality. Study design: One hundred and seventy women who underwent abdominal (n = 68), vaginal (n = 67), and laparoscopic (n = 35) hysterectomy for benign disease were studied. Pre- and postoperative sexuality was assessed by questionnaire. Results: Overall, sexuality after hysterectomy remained unchanged in 60.4% of cases, and improved or deteriorated in 21.3 and 18.3%, respectively. Postoperative delay in resuming sexual activity was shorter after vaginal (45.2 +/- 6.7 days) hysterectomy than after abdominal hysterectomy (62.4 +/- 9.3 days). Deterioration of sexual function occurred more frequently after abdominal hysterectomy (24%) than after vaginal (13.5%) or laparoscopic (8.5%) hysterectomy. Conclusion: These results indicate that the impact of vaginal and laparoscopic hysterectomy on women's sexuality may be milder than that of abdominal hysterectomy. (C) 2003 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:179 / 182
页数:4
相关论文
共 20 条
[11]  
HUFFMAN JW, 1950, AM J OBSTET GYNECOL, V59, P915
[12]   SUPRAVAGINAL UTERINE AMPUTATION VS HYSTERECTOMY - EFFECTS ON LIBIDO AND ORGASM [J].
KILKKU, P ;
GRONROOS, M ;
HIRVONEN, T ;
RAURAMO, L .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1983, 62 (02) :147-152
[14]  
Lambden M P, 1997, J Obstet Gynecol Neonatal Nurs, V26, P540, DOI 10.1111/j.1552-6909.1997.tb02157.x
[15]  
Larsen K E, 1982, Ugeskr Laeger, V144, P2933
[16]  
Lemperiere T, 1973, Ann Med Psychol (Paris), V1, P477
[17]  
MASTERS WH, 1966, HUM SEX RESPONSE, P117
[18]   Hysterectomy and sexual functioning [J].
Rhodes, JC ;
Kjerulff, KH ;
Langenberg, PW ;
Guzinski, GM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (20) :1934-1941
[19]  
UTIAN W H, 1975, International Journal of Gynecology and Obstetrics, V13, P97
[20]   EFFECTS OF ABDOMINAL HYSTERECTOMY ON URINARY AND SEXUAL SYMPTOMS [J].
VIRTANEN, H ;
MAKINEN, J ;
TENHO, T ;
KIILHOLMA, P ;
PITKANEN, Y ;
HIRVONEN, T .
BRITISH JOURNAL OF UROLOGY, 1993, 72 (06) :868-872