Sexuality after hysterectomy: a review of the literature and discussion of nurses' role

Katz, Anne

doi:10.1046/j.1365-2648.2003.02619.x

Cited by 46 publications

(47 citation statements)

References 42 publications

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“…Vaginal injury and neuronal or vascular damage to the anterior vaginal wall and clitoral region may resultin sexual pain disorder, as well as consequent arousal and orgasmic disorders. In addition, vaginal innervation, which appears to be concentrated on the anterior and distal aspect of the vaginal wall [25], may be affected by operations for SUI, most of which are typically directed toward this region. The suburethral sling procedure by the TOR is associated with a higher risk of vaginal injury than is the PRP [26].…”

Section: Discussionmentioning

confidence: 99%

Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up

2010

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Purpose: It is known that 50% to 68% of women with stress urinary incontinence (SUI) have sexual function impairment and avoid sexual intercourse. Reports of sexual function after SUI surgery vary, with reports of both improved function and deteriorated function. The goal of this study was to evaluate the impact of midurethral sling procedures on the sexual function of women suffering from SUI preoperatively and 36 months postoperatively. Materials and Methods: Among 75 patients who were diagnosed with SUI and underwent the midurethral procedure, 47 patients who answered the Korean version of the Female Sexual Function Index (FSFI) Questionnaire were analyzed prospectively. The retropubic route (RPR) was used in 26 patients, whereas the transobturator route (TOR) was used in 21 patients. Fifteen patients underwent concomitant posterior colporrhaphy. The FSFI was completed before surgery and 36 months after surgery. Results: The patients' mean age was 44.9 years (range, 30-59 years) and their mean parity was 2.8 (range, 0-6). There were no significant differences in the individual FSFI domain scores between before surgery and 36 months (36.8±4.57) after surgery. There were no significant differences in sexual satisfaction between the patients with concomitant posterior colporrhaphy and patients with the midurethral sling procedure only. There were no significant differences in domain score between the TOR and the RPR, but patients experienced less pain after the RPR than after the TOR. Conclusion: There was no significant change in overall sexual function in women undergoing the midurethral sling procedure. Attention must be paid when performing the TOR procedure because it can cause pain during intercourse. Int Neurourol J 2010;14:170-6.

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Section: Discussionmentioning

confidence: 99%

Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up

2010

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“…2.Anatomía. El objetivo es entregar contenidos básicos y simples en torno a cómo se afectará la anatomía femenina durante la cirugía (2). Es necesario abordar el tema de una manera simple e incorporando a la pareja en el proceso.…”

Section: Contenidos a Abordarunclassified

“…5.Aspectos positivos y negativos de la cirugía. Dentro de los aspectos positivos, se encuentran el alivio de los síntomas pre-operatorios como: dispareunia, dismenorrea, sangramiento irregular, fatiga, dolor pélvico, limitación de las actividades de la vida diaria, baja de ánimo, irritación, nerviosismo y sín-tomas depresivo (2,7,8,12). Otros aspectos positivos son: la libertad frente al riesgo de embarazo, sentirse libre de no manchar la ropa con el sangramiento vaginal, el mejoramiento de la autoestima y de la sexualidad (12,19).…”

Section: Contenidos a Abordarunclassified

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El Proceso De Ser Histerectomizada: Aspectos Educativos a Considerar

2008

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: La histerectomía es una de las cirugías más frecuente en el mundo entero. La principal patología causante es la miomatosis uterina. A pesar de lo común de la cirugía, existe déficit en torno a la educación otorgada a este grupo de mujeres. Objetivo: El objetivo de la presente revisión bibliográfica es describir los aspectos que deben ser considerados al momento de educar a la mujer histerectomizada, específicamente las características que debiera tener el profesional, los contenidos a abordar, la metodología a utilizar, el lugar y el momento más idóneo para desarrollar la educación. Conclusiones: Una educación centrada en las necesidades de las usuarias es una pieza clave en el cuidado de las mujeres histerectomizadas, e idealmente debiera ser entregada a través de un programa educativo establecido, con contenidos oportunos y atingentes a las reales necesidades de las mujeres y sus parejas. Es necesario que la educación sea dinámica y organizada para de esta forma poder realmente responder a las necesidades de la mujer y su pareja a lo largo del proceso quirúrgico. PALABRAS CLAVE: Mujer, histerectomía, educación SUMMARYBackground: Hysterectomy is one of the most frequent surgeries in the world. Uterine fibroids are the principal cause of the surgery. Although the hysterectomy is a common procedure, there is a deficit related to the education that women receive. Objective: The objective of this literature review is to describe aspects that have to be considered at the time of providing an education to the histerectomized women. Specific aspects related to: characteristics that the professionals should have, contents to provide, methodology to use, place, and the most appropriate moment to develop the education. Conclusions: An education focused in women's care needs is an important piece of the care of the histerectomized women. Ideally this education has to be provided through an established program. This program has to give opportune contents related to the real women's needs and their partner's needs. The education has to be dynamic and organized in steps in order to respond to the women's and their partner's needs during the whole surgical process.

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“…Cada año un gran número de mujeres en el mundo se ve enfrentada a la extracción del útero (1)(2)(3)(4)(5), siendo la histerectomía (HT) una de las cirugías más frecuente después de la cesárea (6,7). La patología benigna del útero es la principal causa de la HT, y en la mayoría de los casos es una cirugía programada (1,3).…”

Section: Introductionunclassified

Significado De La Histerectomía Para Un Grupo De Mujeres Chilenas

2009

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: La histerectomía por patología benigna del útero, es una de las cirugías más frecuente después de la operación cesárea. Objetivo: Evaluar el significado que tiene la histerectomía para mujeres chilenas, beneficiarias de un hospital público de la Región Metropolitana de Santiago, Chile. Método: Estudio transversal descriptivo, de tipo cualitativo, sobre el significado que 120 mujeres histerectomizadas asigna a esa cirugía. Se describen 3 temas que reflejan el significado de la extracción del útero: pérdida, tristezadolor, y mejoría de una enfermedad. Resultados: El promedio de edad fue 56 ± 11,9 años, y de escolaridad de 7,8 ± 4,3 años. El 63% de las mujeres fue histerectomizada por patología ginecológica benigna. El significado que la mujer atribuye a la extracción del útero se encuentra relacionado a una experiencia de pér-dida, que si bien conlleva un alivio de la enfermedad, también implica dolor, tristeza y soledad. Conclusión: Sensibilizar a los profesionales de la salud, que trabajan con mujeres histerectomizadas, a comprender y respetar el significado que para ellas tiene la histerectomía y propiciar el ambiente adecuado para contenerlas y educarlas pre y pos cirugía. PALABRAS CLAVES: Histerectomía, educación, calidad de vida SUMMARYBackground: Elective hysterectomy, after caesarian section, is one of the most frequent surgeries. Objective: To evaluate the significance that the hysterectomy has for Chilean women from a public hospital of the Metropolitan Region of Santiago, Chile. Method: Qualitative and cross-sectional design study of the significance of hysterectomy for 120 women. Three themes were derived from interviews: loss, sadness -sorrow, recovery from illness. Results: The mean of age was 56 ± 11.9 years; the educational level was 7.8 ± 4.3 years. A total of 63% of women had planned elective hysterectomy preformed. The significance that the women attribute to the hysterectomy is related to the experience of loss, and although it includes recovery from illness, it also signifies sorrow, sadness, and loneliness. Conclusion: The health care providers, who work with these women, need to be respectful and understanding of the significance that the women give to this surgery, and to give them the best setting for supporting and educating them before and after the surgery.

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Sexuality after hysterectomy: a review of the literature and discussion of nurses' role

Cited by 46 publications

References 42 publications

Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up

Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up

El Proceso De Ser Histerectomizada: Aspectos Educativos a Considerar

Significado De La Histerectomía Para Un Grupo De Mujeres Chilenas

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