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Laparoscopic versus vaginal cuff closure in laparoscopic hysterectomy: does it affect female sexuality?
, 1, 2, 3
Affiliations- University of Health Sciences, Bursa Yuksek Ihtisas Research and Training Hospital, Department of Obstetrics and Gynecology, Bursa, Turkey
- Istanbul Medipol University Faculty of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey, Istanbul
- Uludag University, Faculty of Medicine, Biostatistics Department, Bursa, Turkey, Bursa
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Abstract
Objectives: To investigate the effect of vaginal cuff closure technique in laparoscopic hysterectomy on vaginal length and female sexual functions.
Material and methods: This study was conducted at a tertiary research hospital. Women who underwent laparoscopic hysterectomy were included and classified according to vaginal cuff closure technique as laparoscopic (n = 75) and vaginal route (n = 25). Vaginal lengths were measured preoperatively and at 6th month postoperatively. Golombok–Rust Inventory of Sexual Satisfaction (GRISS) was used to evaluate female sexual functions. SPSS was used for statistical analysis and the level of significance was p = 0.05.
Results: Preoperative GRISS scores and vaginal lengths were similar in two groups. The shortening of vaginal length and the worsening of GRISS scores were more prominent in vaginal cuff closure group (p = 0.002, p < 0.001). The alteration in vaginal length was positively correlated with the alteration in GRISS score in vaginal and laparoscopic route groups (r = 0.800, p < 0.001; r = 0.680, p < 0.001). The risk of female sexual dysfunction increases 69.88 fold for each 1 cm shortening of vaginal length (p = 0.039). Discriminative value of postoperative vaginal length for female sexual dysfunction in patients who underwent laparoscopic hysterectomy was investigated and a cut-off value of 7.4 cm (p < 0.001) was found.
Conclusions: Laparoscopic route instead of vaginal route in laparoscopic hysterectomy is preferable to preserve a better vaginal length, which may be an important factor for female sexual functions.
Abstract
Objectives: To investigate the effect of vaginal cuff closure technique in laparoscopic hysterectomy on vaginal length and female sexual functions.
Material and methods: This study was conducted at a tertiary research hospital. Women who underwent laparoscopic hysterectomy were included and classified according to vaginal cuff closure technique as laparoscopic (n = 75) and vaginal route (n = 25). Vaginal lengths were measured preoperatively and at 6th month postoperatively. Golombok–Rust Inventory of Sexual Satisfaction (GRISS) was used to evaluate female sexual functions. SPSS was used for statistical analysis and the level of significance was p = 0.05.
Results: Preoperative GRISS scores and vaginal lengths were similar in two groups. The shortening of vaginal length and the worsening of GRISS scores were more prominent in vaginal cuff closure group (p = 0.002, p < 0.001). The alteration in vaginal length was positively correlated with the alteration in GRISS score in vaginal and laparoscopic route groups (r = 0.800, p < 0.001; r = 0.680, p < 0.001). The risk of female sexual dysfunction increases 69.88 fold for each 1 cm shortening of vaginal length (p = 0.039). Discriminative value of postoperative vaginal length for female sexual dysfunction in patients who underwent laparoscopic hysterectomy was investigated and a cut-off value of 7.4 cm (p < 0.001) was found.
Conclusions: Laparoscopic route instead of vaginal route in laparoscopic hysterectomy is preferable to preserve a better vaginal length, which may be an important factor for female sexual functions.
Keywords
female sexual function; Golombok–Rust Inventory of Sexual Satisfaction Scale; hysterectomy; laparoscopy; vaginal cuff closure technique
About this articleTitle
Laparoscopic versus vaginal cuff closure in laparoscopic hysterectomy: does it affect female sexuality?
Journal
Issue
Article type
Research paper
Pages
365-370
Published online
2019-07-26
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1763
Article views/downloads
1202
DOI
Pubmed
Bibliographic record
Ginekol Pol 2019;90(7):365-370.
Keywords
female sexual function
Golombok–Rust Inventory of Sexual Satisfaction Scale
hysterectomy
laparoscopy
vaginal cuff closure technique
Authors
Betul Dundar
Burcu Dincgez Cakmak
Yeliz Aykanat
Asli Ceren Macunluoglu
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