Survey of long term female pelvic floor function and sexual life status after total hysterectomy

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Author:
MIAO Ya-li(Department of Gynaecology, Peking University People's Hospital,Beijing 100044, China)
ZHOU Rong(Department of Gynaecology, Peking University People's Hospital,Beijing 100044, China)
WANG Jian-liu(Department of Gynaecology, Peking University People's Hospital,Beijing 100044, China)
Journal Title:
Chinese Journal of Obstetrics and Gynecology
Issue:
Volume 47, Issue 07, 2012
DOI:
10.3760/cma.j.issn.0529-567x.2012.07.005
Key Word:
Hysterectomy; Pelvic organ prolapse; Urinary incontinence; Quality of life;Sexual behavior; Pelvic floor

Abstract: Objective To evaluate status of female pelvic floor function and sexual life after total hysterectomy.Methods From March 2001 to January 2004,92 patients with undergoing hysterectomy due to benign gynecological diseases were enrolled in this study.They were followed up at outpatient department,including pelvic examination,filling in female sexual quality questionnaire,pelvic floor distress inventory short form 20 ( PFDI-20 ),pelvic floor distress impact questionnaire short form 7 ( PFIQ-7 ) and quality of sexual life of chinese women questionnaire.Results At 6 years after total hysterectomy,it was observed that 7 cases (7/92,7.6% ) were pelvic organ prolapse and 62 cases (62/92,67.4% ) were urinary incontinence.A median score of PFDI-20 were 4.67.A median score of PFIQ-7 were 0.Symptoms of pelvic floor dysfunction concentrated in lower urinary tract ( 58 cases with cough leak,32 cases with spot urine leakage,31 cases with frequent micturition,24 cases with urgent urination)and bowel symptoms (26 cases with constipation,24 cases with defecation urgency,21 cases without fully drained stool).In the 68 patients filling in female sexual quality questionnaire,an average score were (127 ± 20) points.Female sexual quality questionnaire score,sexual satisfaction,sexual communication and adjustment,sexual response and sexual body image were positively correlated with the patients' income ( r = 0.432,P = 0.007 ; r = 0.356,P =0.028;r=0.475,P=0.003;r=0.421,P=0.009;r=0.324,P=0.047).Conclusions Hysterectomy may have long-term effect on female pelvic floor function and sexual life.Quality of sexual life in those patients was positively correlated with income.

  • [1]乐杰.妇产科学.7版.北京:人民卫生出版社,2008:341-347.
  • [2]胡蕾,胡佩诚.女性性生活质量问卷的编制和信效度检验.中 国心理卫生杂志,2008,22:447-450.
  • [3]El-Toukhy TA,Hefni M,Davies A,et al.The effect of different types of hysterectomy on urinary and sexual functions:a prospective study.J Obstet Gynaeco1,2004,24:420-425.
  • [4]Lakeman MM,Van Der Vaart CH,Van Der Steeg JW,et al.Predicting the development of stress urinary incontinence 3 years after hysterectomy.Int Urogynecol J,2011,22:1179-1184.
  • [5]Al-Mehaisen LM,Al-Kuran O,Lataifeh I,et al.Effect of abdominal hysterectomy on developing urinary and faecal incontinence later in life.J Obstet Gynaecol,2009,29:742-748.
  • [6]Forsgren C,Zetterstr(o)m J,Lopez A,et al.Effects of hysterectomy on bowel function:a three-year,prospective cohort study.Dis Colon Rectum,2007,50:1139-1145.
  • [7]Thakar R,Ayers S,Srivastava R,et al.Removing the cervix at hysterectomy:an unnecessary intervention?.Obstet Gynecol,2008,112:1262-1269.
  • [8]Zobbe V,Gimbel H,Andersen BM,et al.Sexuality after total vs.subtotal hysterectomy.Acta Obstet Gynecol Scand,2004,83:191-196.
  • [9]Lonnée-Hoffmann RA,Sehei B,Eriksson NH.Sexual experience of partners after hysterectomy,comparing subtotal with total abdominal hysterectomy.Acta Obstet Gynecol Seand,2006,85:1389-1394.
  • [10]Roussis NP,Waltrous L,Kerr A,et al.Sexual response in the patient after hysterectomy:total abdominal versus supracervical versus vaginal procedure.Am J Obstet Gyneco1,2004,190:1427-1428.
  • [11]Celik H,Gurates B,Yavuz A,et al.The effect of hysterectomy and bilaterally salpingo-oophorectomy on sexual function in post menopausal women.Maturitas,2008,61:358-363.
  • [12]Addis IB,Van Den Eeden SK,Wassel-Fyr CL,et al.Sexual activity and function in middle-aged and older women.Obstet Gynecol,2006,107:755-764.
  • [13]胡蕾,胡佩诚.城市女性性生活质量的相关因素.中国心理卫 生杂志,2008,22:732-738.
  • [14]Addis IB,Van Den Eeden SK,Wassel-Fyr CL,et al.Sexual activity and function in middle-aged and older women.Obstet Gynecol,2006,107:755-764.
  • [15]Rodríguez MC,Chedraui P,Schwager G,et al.Assessment of sexuality after hysterectomy using the Female Sexual Function Index.J Obstet Gynaecol,2012,32:180-184.
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