Effect of Different Surgical Approaches to Hysterectomy on the Sexual Function and Psychological Health
- VernacularTitle:全子宫切除术的不同手术途径对性功能及精神心理的影响
- Author:
Yizi WANG
;
Danbo WANG
- Publication Type:Journal Article
- Keywords:
transabdominal hysterectomy;
transvaginal hysterectomy;
laparoscopic total hysterectomy;
sexual function;
psychological health
- From:
Journal of China Medical University
2010;(3):228-230
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects of transabdominal hysterectomy(TAH),transvaginal hysterectomy(TVH),and laparoscopic total hysterectomy(LTH)on sexual function and psychological health.Methods A total of 100 patients undergoing TAH,100 patients undergoing TVH,and 40 patients undergoing LTH were followed up for 1 year.All the patients were aged between 45 and 54 years.The Results of the questionnaire on sexual function and psychological health were analyzed and compared with those from 100 control subjects undergoing hysteromyomectomy.Results In pateints under 50 years of age,no significant difference in the sexual function and psychological health was found between control group and any one of TAH,TVH,and LTH goups.In patients aged 50 yeare and older.ESFI score decreased from control group to TVH group to LTH group to TAH group;CHQ-12 score increased from control group to TVH group to LTH group to TAH group;and there was significant difference in the FSFI and CHQ-12 scores both between TAH and control groups and between TAH and TVH groups(P＜0.05).Conclusion There is no obvious effect of these 3 surgical approches to hysterectomy on the sexual function and psychological health in patients under 50 years of age,and there is no significant difference in the sexual function and psychological health among these 3 surgcial approaches.In patients aged 50 yean;and older,TAH has a negative impact on the psychological health and sexual function.
