The Influence of Laparoscopic Benign Hysterectomy in Sexual Function
Objectives: Hysterectomy is the most frequent major surgery performed worldwide in women and in recent years most studies include validated instruments to measure sexual quality of life pre and post operatively. The present review assesses sexual function following abdominal hysterectomy for benign...
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| Format: | Article |
| Language: | English |
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IMR Press
2023-02-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/50/2/10.31083/j.ceog5002038 |
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| author | Meritxell Gracia María Ángeles Martínez-Zamora Camil Castelo-Branco Francisco Carmona |
| author_facet | Meritxell Gracia María Ángeles Martínez-Zamora Camil Castelo-Branco Francisco Carmona |
| author_sort | Meritxell Gracia |
| collection | DOAJ |
| description | Objectives: Hysterectomy is the most frequent major surgery performed worldwide in women and in recent years most studies include validated instruments to measure sexual quality of life pre and post operatively. The present review assesses sexual function following abdominal hysterectomy for benign pathology, especially in relation to minimally invasive surgery: laparoscopic and robotics according to different considerations. Mechanism: The uterus has traditionally been considered a sexually functioning organ, so uterine removal has been associated with negative outcomes on patients’ sexual function despite limited and controversial evidence. By contrast, reviews conducted in recent years conclude that hysterectomies performed for benign uterine pathology improve patients’ sexual function and quality of life. Findings in brief: Some factors associated with surgery have been specially assessed: the combination of hysterectomy with bilateral oophorectomy in patients with benign pathology can lead to alterations in sexual function and should be restricted only to patients at high risk of ovarian cancer, moreover, there is no current scientific evidence to justify performing a subtotal hysterectomy to preserve or improve sexual quality of life over total hysterectomy. Conclusions: postoperative sexual changes have not been demonstrated to mainly depend on surgical approach, in fact, patients who had sexual concerns prior surgery will continue to present them after hysterectomy despite of the vaginal cuff suture approach. |
| format | Article |
| id | doaj-art-1d98ecb5667c48a58ac80989e63f7d46 |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-1d98ecb5667c48a58ac80989e63f7d462025-08-20T01:51:07ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-02-015023810.31083/j.ceog5002038S0390-6663(22)01929-7The Influence of Laparoscopic Benign Hysterectomy in Sexual FunctionMeritxell Gracia0María Ángeles Martínez-Zamora1Camil Castelo-Branco2Francisco Carmona3Department of Gynecology, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, 08036 Barcelona, SpainDepartment of Gynecology, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, 08036 Barcelona, SpainDepartment of Gynecology, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, 08036 Barcelona, SpainDepartment of Gynecology, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, 08036 Barcelona, SpainObjectives: Hysterectomy is the most frequent major surgery performed worldwide in women and in recent years most studies include validated instruments to measure sexual quality of life pre and post operatively. The present review assesses sexual function following abdominal hysterectomy for benign pathology, especially in relation to minimally invasive surgery: laparoscopic and robotics according to different considerations. Mechanism: The uterus has traditionally been considered a sexually functioning organ, so uterine removal has been associated with negative outcomes on patients’ sexual function despite limited and controversial evidence. By contrast, reviews conducted in recent years conclude that hysterectomies performed for benign uterine pathology improve patients’ sexual function and quality of life. Findings in brief: Some factors associated with surgery have been specially assessed: the combination of hysterectomy with bilateral oophorectomy in patients with benign pathology can lead to alterations in sexual function and should be restricted only to patients at high risk of ovarian cancer, moreover, there is no current scientific evidence to justify performing a subtotal hysterectomy to preserve or improve sexual quality of life over total hysterectomy. Conclusions: postoperative sexual changes have not been demonstrated to mainly depend on surgical approach, in fact, patients who had sexual concerns prior surgery will continue to present them after hysterectomy despite of the vaginal cuff suture approach.https://www.imrpress.com/journal/CEOG/50/2/10.31083/j.ceog5002038benign hysterectomysexual functionlaparoscopic hysterectomydyspareuniavaginal cuff suture |
| spellingShingle | Meritxell Gracia María Ángeles Martínez-Zamora Camil Castelo-Branco Francisco Carmona The Influence of Laparoscopic Benign Hysterectomy in Sexual Function Clinical and Experimental Obstetrics & Gynecology benign hysterectomy sexual function laparoscopic hysterectomy dyspareunia vaginal cuff suture |
| title | The Influence of Laparoscopic Benign Hysterectomy in Sexual Function |
| title_full | The Influence of Laparoscopic Benign Hysterectomy in Sexual Function |
| title_fullStr | The Influence of Laparoscopic Benign Hysterectomy in Sexual Function |
| title_full_unstemmed | The Influence of Laparoscopic Benign Hysterectomy in Sexual Function |
| title_short | The Influence of Laparoscopic Benign Hysterectomy in Sexual Function |
| title_sort | influence of laparoscopic benign hysterectomy in sexual function |
| topic | benign hysterectomy sexual function laparoscopic hysterectomy dyspareunia vaginal cuff suture |
| url | https://www.imrpress.com/journal/CEOG/50/2/10.31083/j.ceog5002038 |
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