Dong Ho Kim1, Yong Seok Lee, Eun Sil Lee. 1. Department of Obstetrics and Gynecology, Chung-Ang University, Pil-Dong Hospital, 82-1, 2Ga, Pil-Dong, Chung-Gu, Seoul, Korea.
Abstract
STUDY OBJECTIVE: To investigate possible advantages of classic intrafascial supracervical hysterectomy (CISH) over total hysterectomy with respect to sexual function. DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: Department of obstetrics and gynecology at a university teaching hospital. PATIENTS: One hundred eight women who had undergone CISH and 125 who had total hysterectomy. INTERVENTION: A standard questionnaire sent to all 233 patients a minimum of 12 and maximum of 24 months after hysterectomy. MEASUREMENTS AND MAIN RESULTS: Data obtained on sexual function were classified by changes (improved, no change, deteriorated) before and after hysterectomy. No significant difference was found between groups in mean time interval between surgery and first intercourse. Overall, over two-thirds of women experienced either no change or improvement in sexual function regardless of which procedure was performed, with no statistically significant differences in changes in libido, frequency of coitus, frequency of orgasm, and degree of orgasm. CONCLUSIONS: Women who underwent CISH and total hysterectomy had no statistically significant differences with regard to postoperative sexual function.
STUDY OBJECTIVE: To investigate possible advantages of classic intrafascial supracervical hysterectomy (CISH) over total hysterectomy with respect to sexual function. DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: Department of obstetrics and gynecology at a university teaching hospital. PATIENTS: One hundred eight women who had undergone CISH and 125 who had total hysterectomy. INTERVENTION: A standard questionnaire sent to all 233 patients a minimum of 12 and maximum of 24 months after hysterectomy. MEASUREMENTS AND MAIN RESULTS: Data obtained on sexual function were classified by changes (improved, no change, deteriorated) before and after hysterectomy. No significant difference was found between groups in mean time interval between surgery and first intercourse. Overall, over two-thirds of women experienced either no change or improvement in sexual function regardless of which procedure was performed, with no statistically significant differences in changes in libido, frequency of coitus, frequency of orgasm, and degree of orgasm. CONCLUSIONS:Women who underwent CISH and total hysterectomy had no statistically significant differences with regard to postoperative sexual function.