Laparoskopik histerektominin cinsel işlevler ve yaşam kalitesi üzerine etkisi: 12 aylık izlem sonuçları

Yıl 2018, Cilt: 43 Sayı: Ek 1, 216 - 221, 29.12.2018

Gökmen Sukgen , Aşkı Ellibeş Kaya

https://doi.org/10.17826/cumj.442973

Cited By: 2

Öz

Amaç: Bu çalışmanın amacı, benign nedenlerle yapılan laparoskopik histerektomi ameliyatının, yaşam kalitesi ve cinsel işlevler üzerine etkisini 12 ay sonuçlar ile incelemektir.  

Gereç ve Yöntem: Bu prospektif kesitsel çalışma 28 laparoskopik histerektomi olmuş hastadan oluşmaktadır. Katılımcıların yaşam kalitesi ve cinsel işlevleri operasyon öncesi ve operasyondan bir yıl sonra, Kadın Cinsel Fonksiyon Ölçeği (FSFI), Yaşam Kalitesi Ölçeği Kısa Form 36 (SF-36)  anketleri ile ölçülmüştür.

Bulgular: Katılımcıların, operasyon öncesi ve birinci yıl cinsel işlev skorlarında istatistiksel olarak anlamlı bir fark saptanmadı. Tüm alt grup skorlarda artış mevcutken; 'arzu' alt grubunda azalma saptanmış olup bu sonuçlar istatistiksel olarak anlamlı değildi. Yaşam kalitesinin tüm alt gruplarında 'enerji' dışında istatistiksel olarak anlamlı artış mevcuttu. 'Enerji' alt grupta ise azalma saptandı. 

Sonuç: Laparoskopik histerektominin 12 aylık takiplerde seksüel fonksiyonlar üzerine bir etkisi bulunmamışken, yaşam kalitesi üzerine pozitif etkisi olduğu saptanmıştır.

Anahtar Kelimeler

Total laparoskopik histerektomi, histerektomi, seksüel fonksiyon, yaşam kalitesi

Effect of laparoscopic hysterectomy on sexual function and quality of life: 12-month follow-up results

Öz

Purpose: The purpose of this study is to investigate the effect of laparoscopic hysterectomy for benign reasons on the quality of life and sexual function of the patients with 12-month follow-up results.

Materials and Methods: This prospective cohort study included 28 patients who had a laparoscopic hysterectomy. The participants` quality of life and sexual function level was measured with the Female Sexual Function Index (FSFI) and Short Form 36 Quality of Life Scale (SF-36) before and the first year after the operation. 

Results: There were no significant differences on the participants` sexual function scores between preoperation, and the first year after the operation. Although there was an improvement in all of the sub-domain scores, only sexual desire scores decreased after the operations, but these results were not statistically significant. However, quality of life scores, in all sub-domains, significantly increased after the surgery except the vitality. The vitality scores of the participants decreased.

Conclusion: There is no effect of laparoscopic hysterectomy on sexual functioning, and there is a positive effect on the quality of life in the 12-month follow-up.

Anahtar Kelimeler

total laparoscopic hysterectomy, hysterectomy, sexual function, quality of life

Kaynakça

• Ayoubi JM, Fanchin R, Monrozies X, Imbert P, Reme JM, Pons JC. Respective consequences of abdominal, vaginal, and laparoscopic hysterectomies on women’s sexuality. Eur J Obstet Gynecol Reprod Biol. 2003;111(2):179–82.
• Fram KM, Saleh SS, Sumrein IA. Sexuality after hysterectomy at University of Jordan Hospital: A teaching hospital experience. Arch Gynecol Obstet. 2013;287(4):703–708.
• Aarts J, Nieboer T, Johnson N, Tavender E, Garry R, Mol B, et al. Surgical approach to hysterectomy for benign gynaecological disease ( Review ) summary of findings for the main comparison. 2015;(8):10–13.
• Reich H, DeCaprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg. 1989;5:213.
• Cohen S, Vitonis A, Einarsson J. Updated hysterectomy surveillance and factors associated with minimally invasive hysterectomy. JSLS. 2014;18(3).
• Candiani M, Izzo S, Bulfoni A, Riparini J, Ronzoni S, Marconi A. Laparoscopic vs vaginal hysterectomy for benign pathology. Am J Obstet Gynecol. 2009;200(4):368.e1-368.e7.
• Garry R. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. Bmj. 2004;328(7432):129–130.
• Pauls RN. Impact of gynecological surgery on female sexual function. Int J Impot Res. 2010;22(2):105–14.
• Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31(1):1–20.
• Öksüz E, Malhan S. Reliability and validity of the Female Sexual Function Index in Turkish population. SENDROM. 2005; 17(7):54-60
• Koçyiğit H, Aydemir Ö, Ölmez N, Memiş A. Reliability and Validity of the Turkish Version of Short Form-36 (SF-36). İlaç Ve Tedavi Derg. 1999;12(2):102–106.
• Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (Fsfi): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191–205.
• Reis N, Engin R, Ingec M, Bag B. A qualitative study: Beliefs and attitudes of women undergoing abdominal hysterectomy in Turkey. Int J Gynecol Cancer. 2008;18(5):921–928.
• Radosa JC, Meyberg-Solomayer G, Kastl C, Radosa CG, Mavrova R, Gräber S, et al. Influences of Different Hysterectomy Techniques on Patients’ Postoperative Sexual Function and Quality of Life. J Sex Med. 2014;11(9):2342–50.
• Lermann J, Häberle L, Merk S, Henglein K, Beckmann MW, Mueller A, et al. Comparison of prevalence of hypoactive sexual desire disorder (HSDD) in women after five different hysterectomy procedures. Eur J Obstet Gynecol Reprod Biol. 2013;167(2):210–214.
• Ellström MA, Åström M, Möller A, Olsson JH, Hahlin M. A randomized trial comparing changes in psychological well-being and sexuality after laparoscopic and abdominal hysterectomy. Acta Obstet Gynecol Scand. 2003; 82(9):871-875.
• Roovers J-PWR, van der Bom JG, van der Vaart CH, Heintz a PM. Hysterectomy and sexual wellbeing: prospective observational study of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy. BMJ. 2003; 327(4): 1-5.
• Nieboer TE, Hendriks JCM, Bongers MY, Vierhout ME, Kluivers KB. Quality of life after laparoscopic and abdominal hysterectomy: A randomized controlled trial. Obstet Gynecol. 2012;119(1):85–91.
• Kluivers KB, Hendriks JCM, Mol BWJ, Bongers MY, Bremer GL, de Vet HCW, et al. Quality of life and surgical outcome after total laparoscopic hysterectomy versus total abdominal hysterectomy for benign disease: A randomized, controlled trial. J Minim Invasive Gynecol. 2007; 14(2) 145-152
• Kayani S, Pundir J, Omanwa K. Quality of life after total laparoscopic hysterectomy: a one-year follow-up study. Minerva Ginecol. 2016;68(4):412–7.