Impact on sexual functioning: total versus subtotal hysterectomy
Year: 2023
Type: preprint
Abstract: Background As with any surgical procedure, several complications can arise during the hysterectomy. A complication that has been documented in the literature is a detrimental effect on sexual performance. On the other hand, this surgical procedure resulted in better sexual functioning according to other studies. These findings made the topic a matter of controversy which inspired us to carry out this study. Objective The aim of this study was to evaluate and compare sexual functioning in women undergoing total (TH) and subtotal hysterectomy (STH). Methodology A longitudinal, prospective and comparative study in women undergoing hysterectomy for benign diseases (N=60). Sexual dysfunction was evaluated by means of the Arizona Sexual Experiences Scale (ASEX) and Female Sexual Function Index (FSFI) before the hysterectomy and after 6 months. The sociodemographic and clinical parameters were examined using the patient's medical records. 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.
Source: Research Square
Institution: Tunis El Manar University
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4362575512