title: A randomized trial comparing changes in psychological well-being and sexuality after laparoscopic and abdominal hysterectomy.
abstract: BACKGROUND
  To evaluate changes in psychological well-being and sexuality 1 year after laparoscopic and abdominal hysterectomy.
  
  
  METHODS
  Seventy-four women scheduled for abdominal hysterectomy due to benign disorders and assessed as not suitable for vaginal hysterectomy were randomized to abdominal hysterectomy (n = 38) or laparoscopic hysterectomy (n = 36). The Psychological General Well-Being (PGWB) Index was used to evaluate changes in psychological well-being and the McCoy scale was used to evaluate changes in sexuality. The differences in outcome before and 1 year after the hysterectomy were calculated for each individual and the changes were compared within and between the two patient groups.
  
  
  RESULTS
  There were no significant differences between the two patient groups with respect to changes in psychological well-being and sexuality 1 year after surgery.
  
  
  CONCLUSIONS
  This study implies that psychological well-being and sexuality after hysterectomy are not influenced by surgical technique.
authors.affiliation: Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Göteborg, Sweden.
authors.forename: Marie A
authors.initials: MA
authors.lastname: Ellström
authors.forename: Monica
authors.initials: M
authors.lastname: Aström
authors.forename: Anders
authors.initials: A
authors.lastname: Möller
authors.forename: Jan-Henrik
authors.initials: JH
authors.lastname: Olsson
authors.forename: Mats
authors.initials: M
authors.lastname: Hahlin
mesh_terms: D000223:Adaptation, Psychological; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods / Q000523:psychology*; D010535:Laparoscopy / Q000379:methods / Q000523:psychology*; D008875:Middle Aged; D011184:Postoperative Period; D019529:Sexuality; D011795:Surveys and Questionnaires; D016896:Treatment Outcome