Klinik Araştırma
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Comparison of the Female Sexual Function Index, Beck Depression Inventory, and Patient Satisfaction Scale in Patients Undergoing Total Abdominal Hysterectomy and Single-Port Laparoscopic Hysterectomy for Benign Conditions

Yıl 2024, Cilt: 6 Sayı: 3, 561 - 566, 24.09.2024
https://doi.org/10.37990/medr.1529028

Öz

Aim: The uterus is widely accepted as a sexual organ, children-making body, secretory organ, youth, charm, or power supply by women. By hysterectomy, psychosocial problems such as fear of losing sexual identity occur, and depression may arise as a result of this. In this study, we investigated the effects of surgery on female sexual function and psychosocial situation according to the methods of Total Abdominal Hysterectomy (TAH) and Single Port Laparoscopic Hysterectomy (SPLH).
Material and Method: This prospective surgical study included 60 patients, including 30 SPLH and 30 TAH patients with benign reasons. The demographic data of patients, Female Sexual Function Inventory (FSFI) score, Beck Depression Inventory (BDI) score, and Patient Satisfaction Scale (PSS) score results were all assessed according to TAH and SPLH methods.
Results: In the FSFI questionnaire, significant differences were found between SPLH and TAH groups for all "desire frequency," "desire level," "stimulation frequency," "stimulation level," and "stimulation trust" subquestions (p=0.004, p=0.0001, p=0.003, p=0.011 and p=0.011, respectively). In the BDI, the TAH score (4.4±3.25) was significantly higher than the SPLH score (2.77±2.97) (p=0.047). TAH had 7.97±3.6 points, and SPLH had 3.73±1.1 points regarding treatment results (p=0.00017). Similarly, TAH had 14±4.4 points, while SPLH had 6.1±1.3 points regarding the functionality of hysterectomy (p<0.0001).
Conclusion: FSFI's results for SPLH were more effective than TAH's, as it was a more effective method for all the treatment processes, functionality, and treatment scores. SPLH instead of TAH will be powerfully influential in eliminating the postoperative negative impacts of hysterectomy.

Etik Beyan

The Kocaeli Non-Interventional Research Ethics Committee granted ethical approval under project number "KU-GOKAEK 2016107."

Kaynakça

  • Thakar R. Is the uterus a sexual organ? sexual function following hysterectomy. Sex Med Rev. 2015;3:264-78.
  • Brace C, Burns M, Thurston J, Rajakumar C. Laparoscopic single-port subtotal hysterectomy: technique and advantages. J Obstet Gynaecol Can. 2019;41:1409.
  • Orhan A, Ozerkan K, Kasapoglu I, et al. Laparoscopic hysterectomy trends in challenging cases (1995-2018). J Gynecol Obstet Hum Reprod. 2019;48:791-8.
  • Beyan E, İnan AH, Emirdar V, et al. Comparison of the effects of total laparoscopic hysterectomy and total abdominal hysterectomy on sexual function and quality of life. Biomed Res Int. 2020;2020:8247207.
  • Spüntrup C, Banerjee M, Piana J, et al. The influence of persistent bleeding after supracervical hysterectomy on depressive and anxious symptoms: a prospective bicenter study. Arch Gynecol Obstet. 2022;306:127-32.
  • Yurtkal A, Canday M. Optimizing hysterectomy: a prospective comparative analysis of surgical techniques and their impact on women's lives. J Pers Med. 2024;14:265.
  • Goktas SB, Gun I, Yildiz T, et al. The effect of total hysterectomy on sexual function and depression. Pak J Med Sci. 2015;31:700-5.
  • Obermair A, Hanna GB, Gebski V, et al. Feasibility and safety of a surgical training program in total laparoscopic hysterectomy: Results of a pilot trial. Aust N Z J Obstet Gynaecol. 2024;64:48-54.
  • He GL, Gong XZ, He JL, et al. Evaluation of the efficacy and safety of intradermal needle therapy on the sleep quality of patients following laparoscopic hysterectomy: study protocol for a randomized controlled trial. Ann Transl Med. 2022;10:808.
  • Skorupska K, Wawrysiuk S, Bogusiewicz M, et al. Impact of hysterectomy on quality of life, urinary incontinence, sexual functions and urethral length. J Clin Med. 2021;10:3608.
  • Yang L, Gao J, Zeng L, et al. Systematic review and meta-analysis of single-port versus conventional laparoscopic hysterectomy. Int J Gynaecol Obstet. 2016;133:9-16.
  • Ikoma D, Ikoma M, Gnade C, Haugsdal M. Benign hysterectomy operative times and 30- day complications: a cohort study. J Minim Invasive Gynecol. 2022;29:429-39.
  • Weber AM, Walters MD, Schover LR, et al. Functional outcomes and satisfaction after abdominal hysterectomy. Primary Care Update for OB/GYNS. 1998;5:203.
  • Xie W, Cao D, Yang J, et al. Single-port vs multiport laparoscopic hysterectomy: a meta-analysis of randomized controlled trials. J Minim Invasive Gynecol. 2016;23:1049-56.
  • Wang Y, Ying X. Sexual function after total laparoscopic hysterectomy or transabdominal hysterectomy for benign uterine disorders: a retrospective cohort. Braz J Med Biol Res. 2020;53:e9058.
  • Jerome RR, Randhawa MK, Kowalczyk J, et al. Sexual satisfaction after gender affirmation surgery in transgender individuals. Cureus. 2022;14:e27365. Erratum in: Cureus. 2022;14:c70.
  • Katon JG, Callegari LS, Bossick AS, et al. Association of depression and post-traumatic stress disorder with receipt of minimally invasive hysterectomy for uterine fibroids: findings from the U.S. department of veterans affairs. Womens Health Issues. 2020;30:359-65.
  • Kilpiö O, Härkki PSM, Mentula MJ, Pakarinen PI. Health-related quality of life after laparoscopic hysterectomy following enhanced recovery after surgery protocol or a conventional recovery protocol. J Minim Invasive Gynecol. 2021;28:1650-5.
  • Nazlı E, Adahan D, Korkut B, et al. Histerektomi olan ve olmayan kadınlarda post menopozal dönemde cinsel yaşam kalitesinin değerlendirilmesi. UNIKA Journal of Health Sciences. 2023;3:399-408.
  • Udokang NE, Udom UG. Sexual dysfunction in female undergradutes. Sch J App Med Sci. 2022;10:660-72.
  • Şendağ F, Peker N, Aydeniz EG, et al. Single-port total laparoscopic hysterectomy in a patient with deep infiltrating endometriosis. J Minim Invasive Gynecol. 2017;24:196-7.
  • Ayoubi JM, Fanchin R, Monrozies X, et al. Respective consequences of abdominal, vaginal, and laparoscopic hysterectomies on women’s sexuality. Eur J Obstet Gynecol Reprod Biol. 2003;111:179-82.
Yıl 2024, Cilt: 6 Sayı: 3, 561 - 566, 24.09.2024
https://doi.org/10.37990/medr.1529028

Öz

Kaynakça

  • Thakar R. Is the uterus a sexual organ? sexual function following hysterectomy. Sex Med Rev. 2015;3:264-78.
  • Brace C, Burns M, Thurston J, Rajakumar C. Laparoscopic single-port subtotal hysterectomy: technique and advantages. J Obstet Gynaecol Can. 2019;41:1409.
  • Orhan A, Ozerkan K, Kasapoglu I, et al. Laparoscopic hysterectomy trends in challenging cases (1995-2018). J Gynecol Obstet Hum Reprod. 2019;48:791-8.
  • Beyan E, İnan AH, Emirdar V, et al. Comparison of the effects of total laparoscopic hysterectomy and total abdominal hysterectomy on sexual function and quality of life. Biomed Res Int. 2020;2020:8247207.
  • Spüntrup C, Banerjee M, Piana J, et al. The influence of persistent bleeding after supracervical hysterectomy on depressive and anxious symptoms: a prospective bicenter study. Arch Gynecol Obstet. 2022;306:127-32.
  • Yurtkal A, Canday M. Optimizing hysterectomy: a prospective comparative analysis of surgical techniques and their impact on women's lives. J Pers Med. 2024;14:265.
  • Goktas SB, Gun I, Yildiz T, et al. The effect of total hysterectomy on sexual function and depression. Pak J Med Sci. 2015;31:700-5.
  • Obermair A, Hanna GB, Gebski V, et al. Feasibility and safety of a surgical training program in total laparoscopic hysterectomy: Results of a pilot trial. Aust N Z J Obstet Gynaecol. 2024;64:48-54.
  • He GL, Gong XZ, He JL, et al. Evaluation of the efficacy and safety of intradermal needle therapy on the sleep quality of patients following laparoscopic hysterectomy: study protocol for a randomized controlled trial. Ann Transl Med. 2022;10:808.
  • Skorupska K, Wawrysiuk S, Bogusiewicz M, et al. Impact of hysterectomy on quality of life, urinary incontinence, sexual functions and urethral length. J Clin Med. 2021;10:3608.
  • Yang L, Gao J, Zeng L, et al. Systematic review and meta-analysis of single-port versus conventional laparoscopic hysterectomy. Int J Gynaecol Obstet. 2016;133:9-16.
  • Ikoma D, Ikoma M, Gnade C, Haugsdal M. Benign hysterectomy operative times and 30- day complications: a cohort study. J Minim Invasive Gynecol. 2022;29:429-39.
  • Weber AM, Walters MD, Schover LR, et al. Functional outcomes and satisfaction after abdominal hysterectomy. Primary Care Update for OB/GYNS. 1998;5:203.
  • Xie W, Cao D, Yang J, et al. Single-port vs multiport laparoscopic hysterectomy: a meta-analysis of randomized controlled trials. J Minim Invasive Gynecol. 2016;23:1049-56.
  • Wang Y, Ying X. Sexual function after total laparoscopic hysterectomy or transabdominal hysterectomy for benign uterine disorders: a retrospective cohort. Braz J Med Biol Res. 2020;53:e9058.
  • Jerome RR, Randhawa MK, Kowalczyk J, et al. Sexual satisfaction after gender affirmation surgery in transgender individuals. Cureus. 2022;14:e27365. Erratum in: Cureus. 2022;14:c70.
  • Katon JG, Callegari LS, Bossick AS, et al. Association of depression and post-traumatic stress disorder with receipt of minimally invasive hysterectomy for uterine fibroids: findings from the U.S. department of veterans affairs. Womens Health Issues. 2020;30:359-65.
  • Kilpiö O, Härkki PSM, Mentula MJ, Pakarinen PI. Health-related quality of life after laparoscopic hysterectomy following enhanced recovery after surgery protocol or a conventional recovery protocol. J Minim Invasive Gynecol. 2021;28:1650-5.
  • Nazlı E, Adahan D, Korkut B, et al. Histerektomi olan ve olmayan kadınlarda post menopozal dönemde cinsel yaşam kalitesinin değerlendirilmesi. UNIKA Journal of Health Sciences. 2023;3:399-408.
  • Udokang NE, Udom UG. Sexual dysfunction in female undergradutes. Sch J App Med Sci. 2022;10:660-72.
  • Şendağ F, Peker N, Aydeniz EG, et al. Single-port total laparoscopic hysterectomy in a patient with deep infiltrating endometriosis. J Minim Invasive Gynecol. 2017;24:196-7.
  • Ayoubi JM, Fanchin R, Monrozies X, et al. Respective consequences of abdominal, vaginal, and laparoscopic hysterectomies on women’s sexuality. Eur J Obstet Gynecol Reprod Biol. 2003;111:179-82.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kadın Hastalıkları ve Doğum
Bölüm Özgün Makaleler
Yazarlar

Seçkin Tuna Kaplan 0009-0005-9278-9516

Ahmet Kale 0000-0001-6059-4873

Yayımlanma Tarihi 24 Eylül 2024
Gönderilme Tarihi 6 Ağustos 2024
Kabul Tarihi 18 Eylül 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 6 Sayı: 3

Kaynak Göster

AMA Kaplan ST, Kale A. Comparison of the Female Sexual Function Index, Beck Depression Inventory, and Patient Satisfaction Scale in Patients Undergoing Total Abdominal Hysterectomy and Single-Port Laparoscopic Hysterectomy for Benign Conditions. Med Records. Eylül 2024;6(3):561-566. doi:10.37990/medr.1529028

 Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey

E-mail: medrecsjournal@gmail.com

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