Sexual satisfaction in total and subtotal abdominal hysterectomy: a randomized clinical trial

Background: Abdominal hysterectomy is one of the therapeutic options in treatment of gynecologic diseases. The most common methods are total and subtotal abdominal hysterectomy. The effect of hysterectomy on sexuality is not fully understood and, until recently, total and subtotal abdominal hysterec...

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Main Authors: Ghanbari Z, Parvanehsayar D
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2007-10-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/4220.pdf&manuscript_id=4220
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author Ghanbari Z
Parvanehsayar D
author_facet Ghanbari Z
Parvanehsayar D
author_sort Ghanbari Z
collection DOAJ
description Background: Abdominal hysterectomy is one of the therapeutic options in treatment of gynecologic diseases. The most common methods are total and subtotal abdominal hysterectomy. The effect of hysterectomy on sexuality is not fully understood and, until recently, total and subtotal abdominal hysterectomies have been compared only in observational studies. In this study, we compare total vs. subtotal abdominal hysterectomy in terms of surgical complications and postoperative sexual function of patients.Methods: In a single-blinded randomized clinical trial, we enrolled 25 patients who underwent subtotal abdominal hysterectomy (STAH), and 25 patients who underwent total abdominal hysterectomy (TAH). All patients were followed for 24 months after surgery. Three, six, 12 and 24 months after the procedures, all variables were compared between these two groups.Results: The duration of operation (p=0.007), volume of bleeding (p=0.0007) and duration of hospital stay after surgery (p=0.03) were less in the STAH group than the TAH group. No complications were experienced during the operation, nor excessive post-operative pain or infection for either group. No significant differences were seen between the two groups with regard to dyspareunia, sexual satisfaction of the patients and their partners were. Spot bleeding in the STAH group was significantly more frequent than in the TAH group.Conclusion: TAH and STAH do not have significantly different outcomes with regard to sexual satisfaction and function and surgical complications."n 
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spelling doaj.art-7e782fb507374b8cacc8b4807a49e7782022-12-21T19:48:19ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222007-10-016593135Sexual satisfaction in total and subtotal abdominal hysterectomy: a randomized clinical trialGhanbari ZParvanehsayar DBackground: Abdominal hysterectomy is one of the therapeutic options in treatment of gynecologic diseases. The most common methods are total and subtotal abdominal hysterectomy. The effect of hysterectomy on sexuality is not fully understood and, until recently, total and subtotal abdominal hysterectomies have been compared only in observational studies. In this study, we compare total vs. subtotal abdominal hysterectomy in terms of surgical complications and postoperative sexual function of patients.Methods: In a single-blinded randomized clinical trial, we enrolled 25 patients who underwent subtotal abdominal hysterectomy (STAH), and 25 patients who underwent total abdominal hysterectomy (TAH). All patients were followed for 24 months after surgery. Three, six, 12 and 24 months after the procedures, all variables were compared between these two groups.Results: The duration of operation (p=0.007), volume of bleeding (p=0.0007) and duration of hospital stay after surgery (p=0.03) were less in the STAH group than the TAH group. No complications were experienced during the operation, nor excessive post-operative pain or infection for either group. No significant differences were seen between the two groups with regard to dyspareunia, sexual satisfaction of the patients and their partners were. Spot bleeding in the STAH group was significantly more frequent than in the TAH group.Conclusion: TAH and STAH do not have significantly different outcomes with regard to sexual satisfaction and function and surgical complications."n http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/4220.pdf&manuscript_id=4220Total abdominal hysterectomysubtotal abdominal hysterectomysexual function
spellingShingle Ghanbari Z
Parvanehsayar D
Sexual satisfaction in total and subtotal abdominal hysterectomy: a randomized clinical trial
Tehran University Medical Journal
Total abdominal hysterectomy
subtotal abdominal hysterectomy
sexual function
title Sexual satisfaction in total and subtotal abdominal hysterectomy: a randomized clinical trial
title_full Sexual satisfaction in total and subtotal abdominal hysterectomy: a randomized clinical trial
title_fullStr Sexual satisfaction in total and subtotal abdominal hysterectomy: a randomized clinical trial
title_full_unstemmed Sexual satisfaction in total and subtotal abdominal hysterectomy: a randomized clinical trial
title_short Sexual satisfaction in total and subtotal abdominal hysterectomy: a randomized clinical trial
title_sort sexual satisfaction in total and subtotal abdominal hysterectomy a randomized clinical trial
topic Total abdominal hysterectomy
subtotal abdominal hysterectomy
sexual function
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/4220.pdf&manuscript_id=4220
work_keys_str_mv AT ghanbariz sexualsatisfactionintotalandsubtotalabdominalhysterectomyarandomizedclinicaltrial
AT parvanehsayard sexualsatisfactionintotalandsubtotalabdominalhysterectomyarandomizedclinicaltrial