Supracervical hysterectomy versus total abdominal hysterectomy: Perceived effects on sexual function

被引：36

作者：

Saini J. ^{[1
]}

Kuczynski E. ^{[2
]}

Gretz III H.F. ^{[3
]}

Sills E.S. ^{[4
]}

机构：

[1] Department of Obstetrics/Gynecology, Indiana University Medical Center, Indianapolis, IN

[2] Department of Obstetrics/Gynecology, New York University Medical Center, New York, NY

[3] Division of Gynecology Oncology, New York-Presbyterian Hospital, Weill Med. College of Cornell Univ., New York, NY

[4] Div. of Repro. Endocrinol./Infertil., Department of Obstetrics/Gynecology, Atlanta Medical Center, Atlanta, GA

来源：

BMC Women's Health | / 2卷 / 1期

关键词：

Hormone Replacement Therapy; Sexual Function; Sexual Satisfaction; Sexual Response; Total Abdominal Hysterectomy;

D O I：

10.1186/1472-6874-2-1

中图分类号：

学科分类号：

摘要：

Background: Our investigation sought to compare changes in sexual function following supracervical hysterectomy (SCH) and total abdominal hysterectomy (TAH). Methods: A retrospective chart review was performed to identify all patients who underwent supracervical hysterectomy or total abdominal hysterectomy at a tertiary care center. Patients who met criteria for participation were sent a one page confidential, anonymous questionnaire to assess sexual function experienced both pre- and postoperatively. A total of 69 patients in each group were eligible for participation. A multiple logistic regression model was used to analyze measured variables. Results: Forty-eight percent (n = 33) of women undergoing a SCH returned the questionnaire, while 39% (n = 27) of those undergoing a TAH chose to participate. There were no significant demographic differences between the two groups. Patients who underwent TAH reported worse postoperative sexual outcome than SCH patients with respect to intercourse frequency, orgasm frequency and overall sexual satisfaction (P = 0.01, 0.03, and 0.03, respectively). Irrespective of type of hysterectomy, 35% of patients who underwent bilateral salpingoophorectomy (BSO) with hysterectomy experienced worse overall sexual satisfaction compared to 3% of patients who underwent hysterectomy alone (P = 0.02). Conclusions: Our data suggest that TAH patients experienced worse postoperative sexual function than SCH patients with respect to intercourse frequency and overall sexual satisfaction. Irrespective of type of hysterectomy, patients who underwent bilateral salpingoophorectomy experienced worse overall sexual satisfaction. © 2002 Saini et al; licensee BioMed Central Ltd.

引用

共 24 条

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