Impact of transvaginal natural orifice transluminal endoscopic surgery-assisted laparoscopic nephrec-tomy on female sexual function and quality of life
10.3760/cma.j.issn.1000-6702.2014.07.016
- VernacularTitle:经阴道自然腔道内镜手术辅助腹腔镜下肾切除术对女性性功能及生活质量影响的前瞻性研究
- Author:
Xiaofeng ZOU
;
Yuting WU
;
Guoxi ZHANG
;
Yuanhu YUAN
;
Rihai XIAO
;
Yijun XUE
;
Folin LIU
;
Gengqing WU
;
Xiaoning WANG
;
Dazhi LONG
;
Hui XU
;
Jun YANG
;
Xin ZHONG
;
Quanliang LIU
- Publication Type:Journal Article
- Keywords:
Natural orifice transluminal endoscopic surgery;
Transvaginal;
Female sexual func-tion;
Quality of life
- From:
Chinese Journal of Urology
2014;(7):531-534
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the impact of transvaginal natural orifice transluminal endo-scopic surgery(NOTES)-assisted laparoscopic nephrectomy on female sexual function and quality of life . Methods This was a prospective study on the change of female sexual function and quality of life of female patients who underwent transvaginal NOTES-assisted laparoscopic nephrectomy from May .2011 to Nov. 2012.A total of 42 cases were included in this study (28 of them with severe hydronephrosis , non-functio-ning kidney , 11 with pyelonephrosis , 1 with renal tuberculosis , 1 with duplex kidney complicated with hy-dronephrosis, and 1 with renal angiomyolipoma ).The mean age was 36.9±5.3 (26-45) years, and the mean body mass index was 21.7±2.6 (14.7 to 27.1) kg/m2.Twenty-four cases were operated on the left side, 18 cases on the right .The female sexual function and quality of life were assessed before and 4 months, 7 months and 1 year after surgery using the Female Sexual Function Index (FSFI) questionnaire and the MOS 36-item Short-Form Health Survey (SF-36), respectively. Results The mean FSFI of 42 cases preoperatively and 4 months, 7 months and 1 yr postoperatively were 27.74 ±4.34, 27.19 ±4.49, 28.54±4.23, and 28.68 ±4.19, respectively.There was no statistically significant difference among them (F=1.111, P=0.346).Compared with that of preoperation , the physical function, vitality, metal health, body pain, and general health of the patients were improved , but the role-physical, role-emotion and social function were not improved at postoperative month 4 and month 7 (P<0.05).Each item of SF-36 was im-proved after postoperative 1 year ( P<0.05) . Conclusions Transvaginal NOTES-assisted laparoscopic ne-phrectomy does not cause negative effect on the female sexual function .The quality of life can be improved after operation .The physical function is improved at early stage , and the psychological function as well .
