title: Sexual function after transvaginal cholecystectomy: a systematic review.
abstract: BACKGROUND
  Despite several benefits, patients are concerned that transvaginal cholecystectomy has a negative impact on sexual health. The objective of this systematic review was to assess the impact of transvaginal cholecystectomy on postoperative dyspareunia and sexual function.
  
  
  METHODS
  A literature search was performed in the PubMed and EMBASE databases. Papers reporting on postoperative dyspareunia, vaginal pain or discomfort, and sexual function were included.
  
  
  RESULTS
  Seventeen papers reported on dyspareunia and vaginal pain or discomfort. Two papers reported a rate of de novo dyspareunia of 3.8% and 12.5%, respectively. One study reported a nonsignificant reduction in painful sexual intercourse and the remaining 14 reported no incidents of dyspareunia. Eight papers reported on sexual function. One paper using a nonvalidated questionnaire found impaired sexual function. The papers that used validated questionnaires found no impairment of sexual function.
  
  
  CONCLUSIONS
  The risk of sexual dysfunction and dyspareunia after transvaginal cholecystectomy seems minimal. Well-designed studies using validated questionnaires are necessary to fully assess these types of complications.
authors: *Department of Surgery, Herlev Hospital †Department of Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
authors: Anders M
authors: AM
authors: Donatsky
authors: Lars N
authors: LN
authors: Jørgensen
authors: Søren
authors: S
authors: Meisner
authors: Peter
authors: P
authors: Vilmann
authors: Jacob
authors: J
authors: Rosenberg
mesh_terms: D002763:Cholecystectomy / Q000379:methods* / Q000523:psychology; D005260:Female; D006801:Humans; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D011788:Quality of Life; D012725:Sexual Behavior / Q000523:psychology*; D019529:Sexuality / Q000502:physiology*; D014621:Vagina