Our Summary

This research paper looks at the quality of life and sexual function of women who have had two different types of hysterectomy surgery: total abdominal and total laparoscopic. The researchers asked 121 women to fill out questionnaires about their quality of life and sexual satisfaction before and after their surgery. 104 women completed both questionnaires.

The results showed that women who had the laparoscopic surgery (a less invasive procedure) reported better improvement in their overall quality of life and mental and physical health compared to those who had the abdominal surgery. When it came to sexual function, those who had the abdominal surgery reported more avoidance, less sensuality, dissatisfaction, and vaginismus (a condition that makes intercourse painful) both before and after surgery compared to those who had laparoscopic surgery. However, the change in sexual dysfunction before and after surgery was not significantly different in both groups.

In simpler terms, the study suggests that laparoscopic hysterectomy may be better for overall quality of life, but neither type of surgery had a significant impact on sexual function.

FAQs

  1. What was the purpose of this research study on laparoscopic and total abdominal hysterectomy?
  2. Did the study find any differences in sexual function between the two types of hysterectomy surgeries?
  3. How did laparoscopic hysterectomy impact the overall quality of life and mental and physical health in comparison to total abdominal hysterectomy?

Doctor’s Tip

A helpful tip a doctor might give a patient about laparoscopic hysterectomy is to discuss any concerns or questions about sexual function before the surgery. It is important for the patient to have an open and honest conversation with their doctor about their expectations and any potential changes in sexual function post-surgery. Additionally, the patient should follow post-operative instructions carefully, including taking prescribed medications, attending follow-up appointments, and gradually resuming physical activities as advised by their healthcare provider.

Suitable For

Patients who are recommended laparoscopic hysterectomy are those who are looking for a less invasive procedure that may result in better overall quality of life outcomes. This type of surgery may be particularly beneficial for patients who are concerned about their mental and physical health, as well as those who are looking to minimize post-operative pain and recovery time. Additionally, patients who are looking to preserve their sexual function may also benefit from laparoscopic hysterectomy, as the study suggests that this type of surgery may result in less sexual dysfunction compared to abdominal hysterectomy. Ultimately, the decision to undergo laparoscopic hysterectomy should be made in consultation with a healthcare provider, taking into consideration the individual patient’s medical history, preferences, and treatment goals.

Timeline

Before laparoscopic hysterectomy:

  1. Patient may experience symptoms such as heavy menstrual bleeding, pelvic pain, or fibroids.
  2. Patient consults with a gynecologist to discuss treatment options, including hysterectomy.
  3. Patient undergoes pre-operative tests and evaluations to ensure they are a suitable candidate for surgery.
  4. Patient schedules and prepares for the laparoscopic hysterectomy procedure.

After laparoscopic hysterectomy:

  1. Patient undergoes the laparoscopic hysterectomy surgery, which involves small incisions and the use of a camera to remove the uterus.
  2. Patient may experience some pain and discomfort after surgery, but recovery time is typically faster compared to traditional abdominal hysterectomy.
  3. Patient is discharged from the hospital and instructed on post-operative care, including pain management and physical activity restrictions.
  4. Patient follows up with their healthcare provider for post-operative evaluations and monitoring.
  5. Patient may experience improvements in overall quality of life, including mental and physical health, as reported in some studies.
  6. Patient’s sexual function may not show significant improvement after surgery, but outcomes can vary for each individual.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with laparoscopic hysterectomy compared to abdominal hysterectomy?
  2. How long is the recovery time for laparoscopic hysterectomy compared to abdominal hysterectomy?
  3. Will I have a smaller incision and less scarring with laparoscopic hysterectomy?
  4. How soon after surgery can I resume normal activities, including sexual activity?
  5. Will I experience any changes in sexual function or satisfaction after laparoscopic hysterectomy?
  6. Are there any long-term effects on sexual function to consider with laparoscopic hysterectomy?
  7. What are the success rates of laparoscopic hysterectomy in treating my specific condition compared to abdominal hysterectomy?
  8. How experienced are you in performing laparoscopic hysterectomy procedures?
  9. How will my post-operative care and follow-up differ between laparoscopic and abdominal hysterectomy?
  10. Are there any alternative treatment options to consider besides hysterectomy?

Reference

Authors: Körpe B, Yorganci A, Evliyaoğlu Bozkurt Ö. Journal: Minerva Obstet Gynecol. 2022 Apr;74(2):137-145. doi: 10.23736/S2724-606X.21.04741-2. PMID: 35421916