Pelvic Organ Function After Total Versus Subtotal Abdominal Hysterectomy

Author(s):  
Susan Tsai ◽  
Jessica Traylor ◽  
Magdy Milad

This study is a randomized, double-blind trial comparing total and subtotal abdominal hysterectomy in 279 women who underwent hysterectomy for benign disease. The authors aimed to evaluate measures of bladder, bowel, and sexual function at 12 months as well as postoperative complications. This study demonstrated no difference in pelvic floor function at 12 months. Subtotal hysterectomy did have fewer complications and more rapid recovery but did have a higher incidence of subsequent prolapse or cyclical bleeding.

2004 ◽  
Vol 59 (4) ◽  
pp. 299-304 ◽  
Author(s):  
M. Abdel-Fattah ◽  
J. Barrington ◽  
M. Yousef ◽  
A. Mostafa

Author(s):  
Barbora Heřmánková ◽  
Maja Špiritović ◽  
Hana Šmucrová ◽  
Sabína Oreská ◽  
Hana Štorkánová ◽  
...  

Only a few studies have addressed sexual health in patients with systemic sclerosis (SSc). This study aimed to compare female sexual function and pelvic floor muscle function in SSc patients with healthy controls (HC) matched by age, and to identify the potential implications of clinical features on sexual function. Our cohort included 90 women with SSc and 90 HC aged 18–70 years that completed six well-established and validated questionnaires assessing sexual function (Brief Index of Sexual Function for Women, Female Sexual Function Index, Sexual Quality of Life Questionnaire–Female, Sexual Function Questionnaire) and pelvic floor function (Pelvic Floor Impact Questionnaire–Short Form 7 and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire Short Form). Results from women with SSc and HC were contrasted and correlated with relevant clinical features. The prevalence of female sexual dysfunction was 73% in SSc patients (vs. 31% in HC). Women with SSc reported significantly worse pelvic floor function and sexual function than HC. Impaired sexual function was correlated with higher disease activity, the presence of dyspnea and interstitial lung disease, increased systemic inflammation, reduced physical activity, functional disability, more severe depression, more pronounced fatigue, and impaired quality of life. We demonstrate that sexual dysfunction is highly prevalent among women with SSc. This aspect of the disease deserves more attention both in clinical care and at the level of international research collaboration.


2009 ◽  
Vol 116 (13) ◽  
pp. 1706-1714 ◽  
Author(s):  
IH Braekken ◽  
M Majida ◽  
M Ellström Engh ◽  
IM Holme ◽  
K Bø

2005 ◽  
Vol 16 (6) ◽  
pp. 432-436 ◽  
Author(s):  
Chiara Ghetti ◽  
W. Thomas Gregory ◽  
S. Renee Edwards ◽  
Lesley N. Otto ◽  
Amanda L. Clark

2013 ◽  
Vol 7 (9-10) ◽  
pp. 199 ◽  
Author(s):  
Rebecca G. Rogers

Pelvic floor disorders (PFDs) can impact sexual function. This summary provides an overview of the impact of stress urinary incontinence and pelvic organ prolapse and their treatments on sexual function. In general, interventions that successfully address PFDs will generally improve sexual function as well. However, there are patients whose sexual function will remain unchanged despite treatment, and a small but significant minority who will report worsened sexual function following treatment for their pelvic floor dysfunction.


2006 ◽  
Author(s):  
Luis A. Ferreira ◽  
Francisco M. Araújo ◽  
Teresa Mascarenhas ◽  
Renato M. Natal Jorge ◽  
António A. Fernandes

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