Gynaecological operations: do they improve sexual life?

Ghielmetti, Tanja; Kuhn, Peter; Dreher, Ekkehard F; Kuhn, Annette (2006). Gynaecological operations: do they improve sexual life? European journal of obstetrics & gynecology and reproductive biology, 129(2), pp. 104-10. Shannon: Elsevier 10.1016/j.ejogrb.2006.05.026

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Aim of the study was to determine if gynaecological operations have an effect on sexual function using the current medlined literature. We performed a Medline search using the terms "sexual life/function after operative gynaecological treatment", "sexual life/function after operations for gynaecological problems", "sexual life/function after hysterectomy", "sexual life/function, incontinence" and "sexual life/function, pelvic organ prolapse". Reviews were excluded. We divided the operations into four groups of (1) combined prolapse and incontinence operations, (2) prolapse operations only, (3) incontinence operations only and (4) hysterectomy and compared pre-to postoperative sexual outcome. Thirty-six articles including 4534 patients were identified. Only 13 studies used a validated questionnaire. The other authors used self-designed and non-validated questionnaires or orally posed questions by the examiner to determine sexual function. Prolapse operations particularly posterior repair using levator plication seem to deteriorate sexual function, incontinence procedure have some worsening effect on sexual function and hysterectomy seems to improve sexual function with no differences between subtotal or total hysterectomy. Gynaecological operations do influence sexual function. However, little validated data are available to come to this conclusion.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Dreher, Ekkehard and Kuhn, Annette

ISSN:

0301-2115

ISBN:

16806654

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:50

Last Modified:

06 Dec 2013 13:44

Publisher DOI:

10.1016/j.ejogrb.2006.05.026

PubMed ID:

16806654

Web of Science ID:

000243254600001

URI:

https://boris.unibe.ch/id/eprint/21172 (FactScience: 5144)

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