title: [Consequences of hysterectomy at the national- hospital of Pikine in Dakar].
abstract: BACKGROUND
  Despite the frequency of hysterectomy, several studies have reported physical and psychological sequelae of this intervention. BUT: To evaluate the consequences of hysterectomy, their level of importance and how patients experience hysterectomy.
  
  
  METHODS
  That is a prospective study of 70 patients who underwent a hysterectomy from January 2009 to June 2011 at Pikine National Hospital. The experience of hysterectomy was determined by the physical and psychosocial felt after surgery.
  
  
  RESULTS
  Hysterectomy represented 5.9 % of gynecological surgical activities. The indications were dominated by myoma (57.1%). Hysterectomy was performed abdominally in 78.6% of cases and associated with bilateral salpingo-oophorectomy in 87% of cases. After surgery, new symptoms appeared: hot flushes, night sweats, urinary incontinence and urge incontinence in respectively 65.7%, 54.3%, 7.1% and 11.4% of patients. A proportion of 45.6% of them had resumed sexual activity after 90 days. The fear of pain at the time of intercourse was expressed in 55.7% of cases. A decrease in the frequency of sexual intercourse was found in 54.3% of patients. A drop of pleasure during sex was expressed in 38.6% of patients. Psychological effects were also reported by patients: decreased confidence in 31.4% of patients, feeling of being rejected by her husband in 5.7% of cases, sensation of mutilation in 24.3% of cases.
  
  
  CONCLUSIONS
  Physical and psychological postoperative impacts of hysterectomy are real. Adequate accompanying measures are necessary, in addition to preoperative preparation, to allow patients to improve the experience of hysterectomy.
authors: M
authors: M
authors: Gueye
authors: A A
authors: AA
authors: Diouf
authors: A
authors: A
authors: Cisse
authors: A S
authors: AS
authors: Coulbary
authors: J C
authors: JC
authors: Moreau
authors: A
authors: A
authors: Diouf
mesh_terms: D000328:Adult; D005260:Female; D006779:Hospitals, Public; D019584:Hot Flashes / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D006945:Hyperhidrosis / Q000453:epidemiology / Q000209:etiology; D007044:Hysterectomy / Q000009:adverse effects* / Q000523:psychology; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D012675:Senegal / Q000453:epidemiology; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology / Q000209:etiology; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology; D055815:Young Adult