Does transvaginal natural orifice transluminal endoscopic surgery affect female sexual function?: a prospective cohort study

Abstract Background To evaluate the effect of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) on female sexual function. Methods: The trial was registered at the Chinese Clinical Trial Registry (ChiCTR2100050887, 07/09/2021). In this prospective cohort study, we prospectively a...

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Main Authors: Dingyu Xu, Li He, Yonghong Lin, Yayu Zhou, Zhaolin Gong, Qian Zhang, Qiannan Hou, Lu Huang
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-023-02566-y
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author Dingyu Xu
Li He
Yonghong Lin
Yayu Zhou
Zhaolin Gong
Qian Zhang
Qiannan Hou
Lu Huang
author_facet Dingyu Xu
Li He
Yonghong Lin
Yayu Zhou
Zhaolin Gong
Qian Zhang
Qiannan Hou
Lu Huang
author_sort Dingyu Xu
collection DOAJ
description Abstract Background To evaluate the effect of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) on female sexual function. Methods: The trial was registered at the Chinese Clinical Trial Registry (ChiCTR2100050887, 07/09/2021). In this prospective cohort study, we prospectively analyzed the data of the female sexual function index (FSFI) questionnaire of 130 patients who underwent laparoscopy in Chengdu Women’s and Children’s Central Hospital due to gynecological benign diseases. The patients were assigned to the vNOTES group and the control group (underwent traditional laparoscopic surgery or transumbilical laparoendoscopic single-site surgery). Results: There were 4 cases dropout in the vNOTES group and 2 cases dropout in the control group. There was no difference in the ages (31.70 ± 5.02 vs. 30.37 ± 5.74, P>0.05), BMI (body mass index, 21.76 ± 3.16 vs. 23.30 ± 2.69, P>0.05), Education level, surgical types, and FSFI scores (22.31 ± 2.25 vs. 21.55 ± 3.38) between the vNOTES group and the control group before surgery. There was no difference in FSFI scores six months postoperation between the vNOTES group and the control group (21.61 ± 3.22 vs. 20.99 ± 3.26, P>0.05), and there was no difference in FSFI scores pre- and six months postoperation in vNOTES group (21.61 ± 3.22 vs. 22.31 ± 2.25, P>0.05). The time to start sexual life after surgery in the vNOTES group was later than that in the control group (39.34 ± 0.71 d versus 37.86 ± 0.69 d, P < 0.05). Conclusions: vNOTES has no significant adverse effect on female sexual function, however, the time to start sexual life after vNOTES is later than that after trans-abdominal laparoscopy.
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spelling doaj.art-ada0f22a6f8a40b1b90f09f4f851be4d2023-08-06T11:23:48ZengBMCBMC Women's Health1472-68742023-08-012311710.1186/s12905-023-02566-yDoes transvaginal natural orifice transluminal endoscopic surgery affect female sexual function?: a prospective cohort studyDingyu Xu0Li He1Yonghong Lin2Yayu Zhou3Zhaolin Gong4Qian Zhang5Qiannan Hou6Lu Huang7Department of Gynecology, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaDepartment of Gynecology, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaDepartment of Gynecology, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaDepartment of Gynecology, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaDepartment of Gynecology, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaDepartment of Gynecology, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaDepartment of Gynecology, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaDepartment of Gynecology, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaAbstract Background To evaluate the effect of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) on female sexual function. Methods: The trial was registered at the Chinese Clinical Trial Registry (ChiCTR2100050887, 07/09/2021). In this prospective cohort study, we prospectively analyzed the data of the female sexual function index (FSFI) questionnaire of 130 patients who underwent laparoscopy in Chengdu Women’s and Children’s Central Hospital due to gynecological benign diseases. The patients were assigned to the vNOTES group and the control group (underwent traditional laparoscopic surgery or transumbilical laparoendoscopic single-site surgery). Results: There were 4 cases dropout in the vNOTES group and 2 cases dropout in the control group. There was no difference in the ages (31.70 ± 5.02 vs. 30.37 ± 5.74, P>0.05), BMI (body mass index, 21.76 ± 3.16 vs. 23.30 ± 2.69, P>0.05), Education level, surgical types, and FSFI scores (22.31 ± 2.25 vs. 21.55 ± 3.38) between the vNOTES group and the control group before surgery. There was no difference in FSFI scores six months postoperation between the vNOTES group and the control group (21.61 ± 3.22 vs. 20.99 ± 3.26, P>0.05), and there was no difference in FSFI scores pre- and six months postoperation in vNOTES group (21.61 ± 3.22 vs. 22.31 ± 2.25, P>0.05). The time to start sexual life after surgery in the vNOTES group was later than that in the control group (39.34 ± 0.71 d versus 37.86 ± 0.69 d, P < 0.05). Conclusions: vNOTES has no significant adverse effect on female sexual function, however, the time to start sexual life after vNOTES is later than that after trans-abdominal laparoscopy.https://doi.org/10.1186/s12905-023-02566-yTransvaginal Natural Orifice Transluminal endoscopic surgeryvNOTESFemale sexual function
spellingShingle Dingyu Xu
Li He
Yonghong Lin
Yayu Zhou
Zhaolin Gong
Qian Zhang
Qiannan Hou
Lu Huang
Does transvaginal natural orifice transluminal endoscopic surgery affect female sexual function?: a prospective cohort study
BMC Women's Health
Transvaginal Natural Orifice Transluminal endoscopic surgery
vNOTES
Female sexual function
title Does transvaginal natural orifice transluminal endoscopic surgery affect female sexual function?: a prospective cohort study
title_full Does transvaginal natural orifice transluminal endoscopic surgery affect female sexual function?: a prospective cohort study
title_fullStr Does transvaginal natural orifice transluminal endoscopic surgery affect female sexual function?: a prospective cohort study
title_full_unstemmed Does transvaginal natural orifice transluminal endoscopic surgery affect female sexual function?: a prospective cohort study
title_short Does transvaginal natural orifice transluminal endoscopic surgery affect female sexual function?: a prospective cohort study
title_sort does transvaginal natural orifice transluminal endoscopic surgery affect female sexual function a prospective cohort study
topic Transvaginal Natural Orifice Transluminal endoscopic surgery
vNOTES
Female sexual function
url https://doi.org/10.1186/s12905-023-02566-y
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