title: Female sexual dysfunction post radical cystectomy and urinary diversion.
abstract: OBJECTIVE
  To evaluate the impact of radical cystectomy and urinary diversion on female sexual function.
  
  
  METHODS
  A Medline search was conducted according to the PRISMA statement for all English full-text articles published between 1980 and 2016 and assessing female sexual function post radical cystectomy and urinary diversion. Eligible studies were subjected to critical analysis and revision. The primary outcomes were the reporting methods for female sexual dysfunction (FSD), manifestations of FSD, and factors associated with FSD, postoperative recoverability of FSD, and awareness level regarding FSD.
  
  
  RESULTS
  From the resulting 117 articles, 11 studies were finally included in our systematic review, with a total of 361 women. Loss of sexual desire and orgasm disorders were the most frequently reported (49% and 39%). Dyspareunia and vaginal lubrication disorders were reported in 25% and 9.5%, respectively. The incidence of sexual dysfunction was 10% in 30 patients receiving genital- or nerve-sparing cystectomy vs. 59% receiving conventional cystectomy.
  
  
  CONCLUSIONS
  Although female sexual function is an important predictor of health-related quality of life post radical cystectomy and urinary diversion, the available literature is not enough to provide proper information for surgeons and patients.
authors.affiliation: a Urology and Nephrology Center , Mansoura University , Egypt.
authors.forename: M H
authors.initials: MH
authors.lastname: Zahran
authors.affiliation: b Urology Department , Universiti Putra Malaysia (UPM) , Selangor , Malaysia.|c Urology Department , Eberhard Karls University , Tuebingen , Germany.
authors.forename: O
authors.initials: O
authors.lastname: Fahmy
authors.affiliation: a Urology and Nephrology Center , Mansoura University , Egypt.
authors.forename: A S
authors.initials: AS
authors.lastname: El-Hefnawy
authors.affiliation: a Urology and Nephrology Center , Mansoura University , Egypt.
authors.forename: B
authors.initials: B
authors.lastname: Ali-El-Dein
mesh_terms: D000328:Adult; D000368:Aged; D015653:Cystectomy / Q000009:adverse effects*; D004414:Dyspareunia / Q000453:epidemiology; D005260:Female; D006801:Humans; D016239:MEDLINE; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D011788:Quality of Life; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology*; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology*; D014547:Urinary Diversion / Q000009:adverse effects*
keywords: Radical cystectomy; female cystectomy; quality of life; sexual dysfunction; urinary diversion; women