The effect of hysterectomy types on vaginal length, vaginal shortening rate and FSFI scores

Kiremitli, Sevil; Kiremitli, Tunay; Ulug, Pasa; Yılmaz, Nesrin Helvacı; Yilmaz, Betul; Külhan, Mehmet; Kulhan, Nur Gözde; Dinç, Kemal; Kirkinci, Ahmet; Kurnuc, Fatma Zehra

doi:10.1016/j.tjog.2022.02.042

Cited by 9 publications

(9 citation statements)

References 17 publications

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“…They demonstrated that the vaginal route is associated with the least vaginal length after surgery, compared to the abdominal and laparoscopic routes. On the other hand, abdominal hysterectomy is associated with the greatest vaginal shortening when the preoperative vaginal length is taken into account [28]. Evaluation of sexual function did not nd any signi cant differences between the subgroups: total vaginal and abdominal hysterectomies, which is consistent with our results.…”

Section: Discussionsupporting

confidence: 91%

“…It is explained by estrogen de ciency and by iatrogenic lesions of the autonomic innervation pathways responsible for the innervation of the vagina [5,36]. Its frequency is much greater in postmenopausal patients or those who have had bilateral adnexectomy [22,28]. Hormonal decline is incriminated in this case.…”

Section: Discussionmentioning

confidence: 89%

“…The results published in the literature are controversial. Early studies have shown impaired sexual function after a hysterectomy [10,28,29]. More recent publications agree on the improvement of sexuality after surgery [13,14,15,16,17,18].…”

Section: Discussionmentioning

confidence: 97%

“…This comparison was motivated by the differences in postoperative vaginal length between the different surgical approaches to TH. Indeed, Kiremetli et al [28] conducted a prospective study on 136 patients to assess vaginal length after TH and its correlation with postoperative sexuality, depending on the surgical approach used. They demonstrated that the vaginal route is associated with the least vaginal length after surgery, compared to the abdominal and laparoscopic routes.…”

Section: Discussionmentioning

confidence: 99%

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Impact on sexual functioning: total versus subtotal hysterectomy

Nadia¹

2023

Int J of Adv Stud in Sexology

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Objective To evaluate and compare postoperative sexual functioning following total (TH) versus subtotal hysterectomy (STH). Design A longitudinal, prospective and comparative study in women undergoing hysterectomy for benign diseases in Ibn El Jazzar Hospital, Kairouan in Tunisia. Sample Sixty women undergoing hysterectomy for benign disease. Main outcome measures Sexual functioning evaluation using the Arizona Sexual Experiences Scale (ASEX) and Female Sexual Function Index (FSFI) before the operation and after 6 months. Results Following surgery, significant improvement in sexual functioning according to both scales. In fact, the mean total score of the ASEX scale went from 25.14 to 21.15 and from 11,99 to 19,31 for the FSFI. The average time to resume sexuality postoperatively was 50 days. No significant difference was found in these results between total and subtotal hysterectomy. Conclusion Hysterectomy, whether total or subtotal, has a positive impact on the overall sexual satisfaction of the patients especially in those with an impaired sexuality before surgery. There were no statistically significant differences in sexual function between the two groups TH versus STH. Therefore, cervix preservation for the purpose of improving overall sexual satisfaction cannot be recommended. Keywords Hysterectomy . Sexual dysfunction . Supracervical hysterectomy . Cervix

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Impact on sexual functioning: total versus subtotal hysterectomy

Nadia¹

2023

Int J of Adv Stud in Sexology

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“…There are serious concerns about sexual function patients and Urinary incontinence in the postoperative period, for hysterectomy. the effects of hysterectomy increase sexual dysfunction because of loss of female genital organs, loss of nerve tissue, decrease in blood supply, decrease in lubrication due to loss of cervix and negative effects of scar tissue in women who underwent hysterectomy ( Kiremitli et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

A Golden Technique in Sexual Health Status and Urinary Incontinence Among Women with Hysterectomy

Bayumi

Atia

Mohamed

et al. 2021

Egyptian Journal of Health Care

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Hysterectomy is the most common surgical procedure among women, many complications with serious consequences may impact the quality of life. This study aimed to appraise the effect of a golden technique on sexual Health Status and Risk of urinary incontinent among women with hysterectomy. Study design: A quasi-experimental design (one group pre & post-test) was used. Setting: The study was conducted at the Obstetric and Gynecological department and the outpatient clinics in South valley University Hospital. Sample: A purposive sample of 50 women who underwent hysterectomy. Tools of data collection: 3 tools were used. Tool I: A structured interview questionnaire includes three parts; part (1) demographic characteristics; part (2): clinical data, including a history of medical diseases and part (3) assess the level of knowledge about hysterectomy. Tool II: Female Sexual Function Index (FSFI). Tool III: Incontinence impact questionnaireshort form (IIQ-7) Results: There was a statistically significant difference in knowledge, sexual health status and impact of urinary incontinence on health -related quality of life (QOL) among studied subjects pre and post golden technique. Moreover, there were highly significant statistical positive correlations between total knowledge, total female sexual index and Total Incontinence impact questionnaire (p=0.00**). Conclusion: The study concluded that the application of the golden technique is an appropriate way of improving knowledge, sexual health status and impact of urinary incontinence on health -related quality of life (QOL). Recommendation: This study recommended implementing the golden technique as part of routine primary care service provided for adult women.

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Beyond the cuff: a consideration of factors that affect sexual function after benign hysterectomy

Cohen,

Young,

Lin

et al. 2024

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review Hysterectomy is the most common gynecologic surgical procedure performed on women in the United States. While there are data supporting that hysterectomy for benign indication often does not reduce sexual function and may in fact improve sexual function as fibroids and endometriosis are resected, it remains unclear if there are factors within the perioperative period that affect sexual function in the years following surgery. To date, there is no consensus on what factors can optimize patients’ sexual function after hysterectomy. Recent findings We present the current literature that assesses factors which may contribute to sexual function after hysterectomy. Preoperative demographic factors, including increasing age, pelvic pain, and preoperative sexual dysfunction, play a large role in postoperative sexual function. Perioperatively, there is a growing amount of data suggesting that premenopausal salpingo-oophorectomy at the time of hysterectomy may increase the risk of sexual dysfunction after hysterectomy, and no conclusive evidence that subtotal hysterectomy improves sexual function. The route of hysterectomy and technique of cuff closure can impact sexual function after hysterectomy due to the risk of shortening the vaginal length. Summary There is a lack of high-quality evidence that can provide a consensus on factors to optimize sexual function after hysterectomy. A growing area of research in the excision of endometriosis procedures is the consideration of nerve-sparing surgery. Considering the many variables that exist when counseling a patient on benign hysterectomy and its effects on sexual function, it is critical to understand the current research that exists with regards to these factors.

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The effect of hysterectomy types on vaginal length, vaginal shortening rate and FSFI scores

Cited by 9 publications

References 17 publications

Impact on sexual functioning: total versus subtotal hysterectomy

Impact on sexual functioning: total versus subtotal hysterectomy

A Golden Technique in Sexual Health Status and Urinary Incontinence Among Women with Hysterectomy

Beyond the cuff: a consideration of factors that affect sexual function after benign hysterectomy

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