title: [Survey of long term female pelvic floor function and sexual life status after total hysterectomy].
abstract: OBJECTIVE
  To evaluate status of female pelvic floor function and sexual life after total hysterectomy.
  
  
  METHODS
  From March 2001 to January 2004, 92 patients with undergoing hysterectomy due to benign gynecological diseases were enrolled in this study. They were followed up at outpatient department, including pelvic examination, filling in female sexual quality questionnaire, pelvic floor distress inventory short form 20 (PFDI-20), pelvic floor distress impact questionnaire short form 7 (PFIQ-7) and quality of sexual life of chinese women questionnaire.
  
  
  RESULTS
  At 6 years after total hysterectomy, it was observed that 7 cases (7/92, 7.6%) were pelvic organ prolapse and 62 cases (62/92, 67.4%) were urinary incontinence. A median score of PFDI-20 were 4.67. A median score of PFIQ-7 were 0. Symptoms of pelvic floor dysfunction concentrated in lower urinary tract (58 cases with cough leak, 32 cases with spot urine leakage, 31 cases with frequent micturition, 24 cases with urgent urination)and bowel symptoms (26 cases with constipation, 24 cases with defecation urgency, 21 cases without fully drained stool). In the 68 patients filling in female sexual quality questionnaire, an average score were (127 ± 20) points. Female sexual quality questionnaire score, sexual satisfaction, sexual communication and adjustment, sexual response and sexual body image were positively correlated with the patients' income (r = 0.432, P = 0.007; r = 0.356, P = 0.028; r = 0.475, P = 0.003; r = 0.421, P = 0.009; r = 0.324, P = 0.047).
  
  
  CONCLUSIONS
  Hysterectomy may have long-term effect on female pelvic floor function and sexual life. Quality of sexual life in those patients was positively correlated with income.
authors.affiliation: Department of Gynaecology, Peking University People's Hospital, Beijing 100044, China.
authors.forename: Ya-li
authors.initials: YL
authors.lastname: Miao
authors.forename: Rong
authors.initials: R
authors.lastname: Zhou
authors.forename: Jian-liu
authors.initials: JL
authors.lastname: Wang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000453:epidemiology* / Q000209:etiology; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011594:Psychometrics; D011788:Quality of Life; D012725:Sexual Behavior / Q000523:psychology*; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology / Q000209:etiology; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000209:etiology