title: [Study of the sexuality of women after a total hysterectomy versus subtotal hysterectomy by laparoscopy in Nantes CHU].
abstract: OBJECTIVE
  To research the differences in the sexuality and sexual satisfaction for 2 groups of women after a hysterectomy only by laparoscopy for benign pathologies, with or without conservation of the cervix.
  
  
  METHODS
  Retrospective monocentric study, in Nantes CHU, of 46 women divided into two groups. Three validated questionnaires were used (PISQ-12, DSFI, ultra-short Questionnaire of depression).
  
  
  RESULTS
  There is no difference in the scores between the 2 tests in sexuality post-surgically between the 2 groups. But there exists a significant improvement in the postoperative sexuality according to the questionnaire PISQ-12 in the hysterectomy subtotal group, which is not found in the hysterectomy total group. The score of the questions about the orgasm also seems to improve in the hysterectomy subtotal group with some features statistically significant.
  
  
  CONCLUSIONS
  This study confirms the improvement of the sexual function after hysterectomy. In spite of the absence of proof of interest in the conservation of the cervix in the literature, our study seems to show an improvement on certain criteria in the evaluation of sexuality in the hysterectomy subtotal group, in particular on the orgasm. A proposal for a future study with a more detailed questionnaire on the orgasm would allow to better specify the role of the cervix.
authors.affiliation: DIU gynécologie-obstétrique, 9, rue St-Aventin, 53200 Azé, France. Electronic address: gp.gepatrick@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Gé
authors.affiliation: Service de gynécologie-obstétrique, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex 1, France.
authors.forename: E
authors.initials: E
authors.lastname: Vaucel
authors.affiliation: Service d'urologie, CHU d'Angers, 4, rue Larey, 49933 Angers cedex 9, France.
authors.forename: M
authors.initials: M
authors.lastname: Jarnoux
authors.affiliation: 3, boulevard Magenta, 35000 Rennes, France.
authors.forename: N
authors.initials: N
authors.lastname: Dessaux
authors.affiliation: Service de gynécologie-obstétrique, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex 1, France.
authors.forename: P
authors.initials: P
authors.lastname: Lopes
mesh_terms: D000328:Adult; D005260:Female; D005602:France; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy; D008875:Middle Aged; D009948:Orgasm; D012189:Retrospective Studies; D012725:Sexual Behavior; D011795:Surveys and Questionnaires
keywords: Cervix; Col de l’utérus; Cœlioscopie; Female sexuality; Hystérectomie subtotale; Hystérectomie totale; Laparoscopy; Orgasm; Orgasme; Satisfaction sexuelle; Sexual satisfaction; Sexualité féminine; Subtotal hysterectomy; Total hysterectomy