Alteration of sexual function after classic intrafascial supracervical hysterectomy and total hysterectomy.
OBJECTIVE
To investigate possible advantages of classic intrafascial supracervical hysterectomy (CISH) over total hysterectomy with respect to sexual function.


METHODS
Retrospective study (Canadian Task Force classification II-2).


METHODS
Department of obstetrics and gynecology at a university teaching hospital.


METHODS
One hundred eight women who had undergone CISH and 125 who had total hysterectomy.


METHODS
A standard questionnaire sent to all 233 patients a minimum of 12 and maximum of 24 months after hysterectomy.


RESULTS
Data obtained on sexual function were classified by changes (improved, no change, deteriorated) before and after hysterectomy. No significant difference was found between groups in mean time interval between surgery and first intercourse. Overall, over two-thirds of women experienced either no change or improvement in sexual function regardless of which procedure was performed, with no statistically significant differences in changes in libido, frequency of coitus, frequency of orgasm, and degree of orgasm.


CONCLUSIONS
Women who underwent CISH and total hysterectomy had no statistically significant differences with regard to postoperative sexual function.
Kim
Dong Ho
DH
Department of Obstetrics and Gynecology, Chung-Ang University, Pil-Dong Hospital, 82-1, 2Ga, Pil-Dong, Chung-Gu, Seoul, Korea.
Lee
Yong Seok
YS
Lee
Eun Sil
ES
D000328:Adult; D000367:Age Factors; D002584:Cervix Uteri / Q000601:surgery; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D011184:Postoperative Period; D011336:Probability; D012189:Retrospective Studies; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D013997:Time Factors