Patient-reported quality-of-life and sexual-function outcomes after laparoscopic supracervical hysterectomy (LSH) versus total laparoscopic hysterectomy (TLH): a prospective, questionnaire-based follow-up study in 915 patients

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• 作者：Sara Y. Brucker (1)
  Florin-Andrei Taran (1)
  Sandra Bogdanyova (2)
  Sandra Ebersoll (1)
  Christian W. Wallwiener (1)
  Birgitt Sch?nfisch (1)
  Bernhard Kr?mer (1)
  Harald Abele (1)
  Felix Neis (1)
  Christof Sohn (3)
  Stephanie Gawlik (3)
  Diethelm Wallwiener (1)
  Markus Wallwiener (3)
  
• 关键词：Laparoscopic supracervical hysterectomy ; Laparoscopic subtotal hysterectomy ; Total laparoscopic hysterectomy ; Sexual function ; Quality of life
• 刊名：Archives of Gynecology and Obstetrics
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：290
• 期：6
• 页码：1141-1149
• 全文大小：223 KB
• 参考文献：1. Wallwiener D, Becker S (2004) Perspectives in gynecologic surgery: past, present and future. Gynecol Surg 1(2):63-5. doi:10.1007/s10397-004-0005-4 CrossRef
  2. Lermann J, Haberle L, Merk S, Henglein K, Beckmann MW, Mueller A, Mehlhorn G (2013) Comparison of prevalence of hypoactive sexual desire disorder (HSDD) in women after five different hysterectomy procedures. Eur J Obstet Gynecol Reprod Biol 167(2):210-14. doi:10.1016/j.ejogrb.2012.12.005 CrossRef
  3. AAGL practice report: practice guidelines for laparoscopic subtotal/supracervical hysterectomy (LSH) (2014). J Minim Invasive Gynecol 21 (1):9-6. doi:10.1016/j.jmig.2013.08.001
  4. ACOG Committee Opinion No. 388 November 2007: Supracervical hysterectomy (reaffirmed 2013) (2007). Obstet Gynecol 110 (5):1215-217. doi:10.1097/01.AOG.0000291564.32956.de
  5. Wallwiener M, Taran FA, Rothmund R, Kasperkowiak A, Auwarter G, Ganz A, Kraemer B, Abele H, Sch?nfisch B, Isaacson KB, Brucker SY (2013) Laparoscopic supracervical hysterectomy (LSH) versus total laparoscopic hysterectomy (TLH): an implementation study in 1,952 patients with an analysis of risk factors for conversion to laparotomy and complications, and of procedure-specific re-operations. Arch Gynecol Obstet 288(6):1329-339. doi:10.1007/s00404-013-2921-x CrossRef
  6. Wallwiener D, Becker S, Beckmann MW, Brucker SY, Friese K, Isaacson KB, Jonat W, Wattiez A (eds) (2014) Atlas of gynecologic surgery (trans: Champe GG, O’Sullivan G), 4th edn. Thieme, Stuttgart
  7. World Medical Association (2013) WMA Declaration of Helsinki - ethical principles for medical research involving human subjects. http://www.wma.net/en/30publications/10policies/b3/index.html. Accessed 18 February 2014
  8. Berner MM, Kriston L, Zahradnik HP, H?rter M, Rohde A (2004) überprüfung der Gültigkeit und Zuverl?ssigkeit des deutschen female sexual function index (FSFI-d) [validity and reliability of the German female sexual function index (FSFI-d)]. Geburtshilfe Frauenheilkd 64(3):293-03. doi:10.1055/s-2004-815815 CrossRef
  9. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R Jr (2000) The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 26(2):191-08. doi:10.1080/009262300278597 CrossRef
  10. Wiegel M, Meston C, Rosen R (2005) The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 31(1):1-0. doi:10.1080/00926230590475206 CrossRef
  11. R Core Team (2013) A language and environment for statistical computing. R foundation for statistical computing. http://www.R-project.org/. Accessed 27 March 2014
  12. Lethaby A, Mukhopadhyay A, Naik R (2012) Total versus subtotal hysterectomy for benign gynaecological conditions. Cochrane Database Syst Rev 4:CD004993. doi:10.1002/14651858.CD004993.pub3
  13. Flory N, Bissonnette F, Amsel RT, Binik YM (2006) The psychosocial outcomes of total and subtotal hysterectomy: a randomized controlled trial. J Sex Med 3(3):483-91. doi:10.1111/j.1743-6109.2006.00229.x CrossRef
  14. Ellstr?m Engh MA, Jerhamre K, Junskog K (2010) A randomized trial comparing changes in sexual health and psychological well-being after subtotal and total hysterectomies. Acta Obstet Gynecol Scand 89(1):65-0. doi:10.3109/00016340903353276 CrossRef
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• 作者单位：Sara Y. Brucker (1)
  Florin-Andrei Taran (1)
  Sandra Bogdanyova (2)
  Sandra Ebersoll (1)
  Christian W. Wallwiener (1)
  Birgitt Sch?nfisch (1)
  Bernhard Kr?mer (1)
  Harald Abele (1)
  Felix Neis (1)
  Christof Sohn (3)
  Stephanie Gawlik (3)
  Diethelm Wallwiener (1)
  Markus Wallwiener (3)
  
  1. Department of Obstetrics and Gynecology, Tübingen University Hospital, Tübingen, Germany
  2. Department of Obstetrics and Gynecology, District Hospital, Heppenheim, Germany
  3. Department of Obstetrics and Gynecology, Heidelberg University Hospital, University of Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany
  
• ISSN：1432-0711

文摘

Purpose To compare patient-reported quality-of-life and sexual function outcomes in women after laparoscopic supracervical hysterectomy (LSH) or total laparoscopic hysterectomy (TLH) for benign uterine disease. Methods Out of a cohort of 1,952 patients from a previous implementation study of LSH and TLH, 1,886 patients who had not undergone intraoperative conversion to laparotomy or were ineligible for other reasons were invited by mail to participate in this prospective, questionnaire-based follow-up study. Results Of the 915/1,952 (48.5?%) survey respondents included in the analysis, 788 (86.1?%) and 127 (13.9?%) had undergone LSH or TLH, respectively. Women undergoing LSH reported significantly lower pain levels (p?=?0.037) and faster partial (p?=?0.015) and complete (p?p?=?0.018), rated sexual desire as higher (p?=?0.023), and reported more frequently that their sexual life had improved postoperatively (p?=?0.008) than did women undergoing TLH. Conclusions Women undergoing LSH for benign uterine disease may have better outcomes regarding certain quality-of-life and sexual function parameters than women undergoing TLH for benign uterine disease.