title: [Does laparoscopic nephrectomy with vaginal extraction affect the sexual quality of life of patients?].
abstract: OBJECTIVE
  To evaluate the consequences of laparoscopic nephrectomy with vaginal extraction on sexual quality of life.
  
  
  METHODS
  Sixteen patients (mean age: 53.8 years) who underwent laparoscopic nephrectomy with vaginal extraction between September 2010 and February 2014 were included in this monocentric prospective study. All patients underwent a preoperative gynecological examination to evaluate the feasibility of vaginal extraction. The sexual function of the patients was evaluated using the French version of the Female Sexual Function Index (FSFI). The patients completed an initial FSFI preoperatively then another postoperatively after the resumption of sexual activities.
  
  
  RESULTS
  The mean hospital stay was 2.2 days (0-5 days). No postoperative complications were observed except for one case of bleeding at the vaginal incision 4 days after surgery, resolved with a single suture under local anesthesia. Fifteen patients (94%) completed both the pre- and postoperative FSFIs. Three patients were sexually inactive and one was a virgin. The pre- and postoperative mean FSFI overall scores were 24.2 and 24.3 respectively (p=0.39). Scores were comparable in all six of the domains assessed by the questionnaire. Particularly, the pre- and postoperative scores for satisfaction were 4.5 and 4.4 respectively. No increase in dyspareunia was observed after surgery, nor was it more difficult for our patients to reach orgasm after the intervention. No statistically significant differences were observed between the pre- and postoperative FSFI scores.
  
  
  CONCLUSIONS
  Although preliminary, our results suggest that laparoscopic nephrectomy with vaginal extraction has no effect on the sexual quality of life of patients.
authors.affiliation: Service d'urologie, centre hospitalier Lyon-Sud, université Claude-Bernard Lyon 1, 165, chemin du Grand-Revoyet, 69390 Pierre-Bénite, France. Electronic address: navarroducim@gmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Navarro
authors.affiliation: Service de radiothérapie, centre Léon-Bérard, 28, promemade Léa et Napoléon Bullukian, 69008 Lyon, France.
authors.forename: R
authors.initials: R
authors.lastname: Tanguy
authors.affiliation: Service d'urologie, centre hospitalier Lyon-Sud, université Claude-Bernard Lyon 1, 165, chemin du Grand-Revoyet, 69390 Pierre-Bénite, France.
authors.forename: J-E
authors.initials: JE
authors.lastname: Terrier
authors.affiliation: Service de gynécologie, centre hospitalier Lyon-Sud, université Claude-Bernard Lyon 1, 165, chemin du Grand-Revoyet, 69390 Pierre-Bénite, France.
authors.forename: F
authors.initials: F
authors.lastname: Golfier
authors.affiliation: Service d'urologie, centre hospitalier Lyon-Sud, université Claude-Bernard Lyon 1, 165, chemin du Grand-Revoyet, 69390 Pierre-Bénite, France.
authors.forename: A
authors.initials: A
authors.lastname: Ruffion
authors.affiliation: Service d'urologie, centre hospitalier Lyon-Sud, université Claude-Bernard Lyon 1, 165, chemin du Grand-Revoyet, 69390 Pierre-Bénite, France.
authors.forename: P
authors.initials: P
authors.lastname: Paparel
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods*; D011446:Prospective Studies; D011788:Quality of Life; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D014621:Vagina
keywords: Chirurgie mini-invasive; Extraction vaginale; Female Sexual Function Index; Laparoscopic nephrectomy; Minimally invasive surgery; Néphrectomie laparoscopique; Sexuality; Sexualité; Vaginal extraction