| Hysterectomy and sexual wellbeing: prospective observational study of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy. | |
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MedLine Citation:
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PMID: 14525872 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To compare the effects of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy on sexual wellbeing. DESIGN: Prospective observational study over six months. SETTING: 13 teaching and non-teaching hospitals in the Netherlands. PARTICIPANTS: 413 women who underwent hysterectomy for benign disease other than symptomatic prolapse of the uterus and endometriosis. MAIN OUTCOME MEASURES: Reported sexual pleasure, sexual activity, and bothersome sexual problems. RESULTS: Sexual pleasure significantly improved in all patients, independent of the type of hysterectomy. The prevalence of one or more bothersome sexual problems six months after vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy was 43% (38/89), 41% (31/76), and 39% (57/145), respectively (chi2 test, P = 0.88). CONCLUSION: Sexual pleasure improves after vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy. The persistence and development of bothersome problems during sexual activity were similar for all three techniques. |
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Authors:
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Jan-Paul W R Roovers; Johanna G van der Bom; C Huub van der Vaart; A Peter M Heintz |
Publication Detail:
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Type: Comparative Study; Journal Article; Multicenter Study |
Journal Detail:
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Title: BMJ (Clinical research ed.) Volume: 327 ISSN: 1756-1833 ISO Abbreviation: BMJ Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-10-03 Completed Date: 2003-10-20 Revised Date: 2013-04-18 |
Medline Journal Info:
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Nlm Unique ID: 8900488 Medline TA: BMJ Country: England |
Other Details:
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Languages: eng Pagination: 774-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynaecology, University Medical Center Utrecht, 3584 CX Utrecht, Netherlands. j_proovers@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Hysterectomy / methods, psychology* Hysterectomy, Vaginal / psychology Libido Patient Satisfaction* Postoperative Period Prospective Studies Questionnaires Regression Analysis Sexual Behavior* |
| Comments/Corrections | |
Comment In:
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BMJ. 2004 Jan 10;328(7431):107; author reply 108
[PMID:
14715613
]
BMJ. 2004 Jan 10;328(7431):107; author reply 108 [PMID: 14715614 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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