Hysterectomy and women satisfaction: total versus subtotal technique
Introduction The impact of different surgical procedures on women’s satisfaction after hysterectomy is a topical issue. The aim of this study was to investigate the impact of sub-total and total hysterectomy on women’s satisfaction, evaluated with questionnaire assessment of sexual activity, body im...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2008-11, Vol.278 (5), p.405-410 |
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| creator | Gorlero, Franco Lijoi, Davide Biamonti, Mariangela Lorenzi, Paola Pullè, Alberto Dellacasa, Illaria Ragni, Nicola |
| description | Introduction
The impact of different surgical procedures on women’s satisfaction after hysterectomy is a topical issue. The aim of this study was to investigate the impact of sub-total and total hysterectomy on women’s satisfaction, evaluated with questionnaire assessment of sexual activity, body image, and health status.
Materials and methods
A prospective, randomized, non-blind study was conducted. In the study period of 3 years, 105 women were enrolled and completed the questionnaires [EuroQol (EQ-5D), body image scale (BIS), sexual activity questionnaire] 2 weeks before and 1 year after surgery.
Results
Both total and sub-total hysterectomy resulted with improvements in the women’s sexual satisfaction (1 year after surgery), but no statistically significant differences were reached between the two groups. A highly significant difference (
P
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| doi_str_mv | 10.1007/s00404-008-0615-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69517077</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69517077</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-5ba649068108fb7e28770ea9d342c4866cad6bfa5e0fc91937c0d70f5b44d9de3</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMo7rr6A7xIQfBWnXw0Sb3J-gkLXvQc0jTVLttmTVJl_71ZurAgeMqEeead4UHoHMM1BhA3AYABywFkDhwXOT9AU8woyUFgfIimUG5r4GKCTkJYAmAiJT9GEywplViIKbp_3oRovTXRdZtM93X24zrbZ0HHNjTaxNb1t1l0Ua-yb-vDELIwVOM_WvPZt1-DPUVHjV4Fe7Z7Z-j98eFt_pwvXp9e5neL3FABMS8qzVkJXGKQTSUskUKA1WVNGTFMcm50zatGFxYaU-KSCgO1gKaoGKvL2tIZuhpz196ltSGqrg3Grla6t24IipcFFiBEAi__gEs3-D7dpgjhWEpJKEsUHinjXQjeNmrt2077jcKgtoLVKFglwWorWPE0c7FLHqrO1vuJndEEkBEIqdV_WL9f_X_qL4EthdU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261888234</pqid></control><display><type>article</type><title>Hysterectomy and women satisfaction: total versus subtotal technique</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Gorlero, Franco ; Lijoi, Davide ; Biamonti, Mariangela ; Lorenzi, Paola ; Pullè, Alberto ; Dellacasa, Illaria ; Ragni, Nicola</creator><creatorcontrib>Gorlero, Franco ; Lijoi, Davide ; Biamonti, Mariangela ; Lorenzi, Paola ; Pullè, Alberto ; Dellacasa, Illaria ; Ragni, Nicola</creatorcontrib><description>Introduction
The impact of different surgical procedures on women’s satisfaction after hysterectomy is a topical issue. The aim of this study was to investigate the impact of sub-total and total hysterectomy on women’s satisfaction, evaluated with questionnaire assessment of sexual activity, body image, and health status.
Materials and methods
A prospective, randomized, non-blind study was conducted. In the study period of 3 years, 105 women were enrolled and completed the questionnaires [EuroQol (EQ-5D), body image scale (BIS), sexual activity questionnaire] 2 weeks before and 1 year after surgery.
Results
Both total and sub-total hysterectomy resulted with improvements in the women’s sexual satisfaction (1 year after surgery), but no statistically significant differences were reached between the two groups. A highly significant difference (
P
< 0.001) in the perception of the body image between total and sub-total hysterectomy, at 1 year after surgery, was underlined. The health-related quality of life resulted significantly better in the “sub-total hysterectomy” group 1 year after surgery (
P
< 0.05).
Conclusion
Considering these results, why should a total hysterectomy be performed, if the women’s satisfaction seems to be higher using the sub-total technique? In our opinion, the woman undergoing hysterectomy for benign conditions must be counseled regarding the differences between the two techniques and, when possible, a choice must be offered to the woman.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-008-0615-6</identifier><identifier>PMID: 18338177</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Body Image ; Endocrinology ; Female ; Follow-Up Studies ; Gynecology ; Human Genetics ; Humans ; Hysterectomy ; Hysterectomy - adverse effects ; Hysterectomy - methods ; Hysterectomy - psychology ; Medicine ; Medicine & Public Health ; Menstruation Disturbances - etiology ; Menstruation Disturbances - psychology ; Menstruation Disturbances - surgery ; Middle Aged ; Obstetrics/Perinatology/Midwifery ; Original Article ; Ovarian Diseases - complications ; Ovarian Diseases - psychology ; Ovarian Diseases - surgery ; Patient Satisfaction ; Pelvic Pain - etiology ; Pelvic Pain - psychology ; Pelvic Pain - surgery ; Quality of Life ; Questionnaires ; Self image ; Sexual Behavior ; Surgery ; Treatment Outcome ; Uterine Diseases - complications ; Uterine Diseases - psychology ; Uterine Diseases - surgery ; Women</subject><ispartof>Archives of gynecology and obstetrics, 2008-11, Vol.278 (5), p.405-410</ispartof><rights>Springer-Verlag 2008</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2008). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-5ba649068108fb7e28770ea9d342c4866cad6bfa5e0fc91937c0d70f5b44d9de3</citedby><cites>FETCH-LOGICAL-c370t-5ba649068108fb7e28770ea9d342c4866cad6bfa5e0fc91937c0d70f5b44d9de3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-008-0615-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-008-0615-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18338177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gorlero, Franco</creatorcontrib><creatorcontrib>Lijoi, Davide</creatorcontrib><creatorcontrib>Biamonti, Mariangela</creatorcontrib><creatorcontrib>Lorenzi, Paola</creatorcontrib><creatorcontrib>Pullè, Alberto</creatorcontrib><creatorcontrib>Dellacasa, Illaria</creatorcontrib><creatorcontrib>Ragni, Nicola</creatorcontrib><title>Hysterectomy and women satisfaction: total versus subtotal technique</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Introduction
The impact of different surgical procedures on women’s satisfaction after hysterectomy is a topical issue. The aim of this study was to investigate the impact of sub-total and total hysterectomy on women’s satisfaction, evaluated with questionnaire assessment of sexual activity, body image, and health status.
Materials and methods
A prospective, randomized, non-blind study was conducted. In the study period of 3 years, 105 women were enrolled and completed the questionnaires [EuroQol (EQ-5D), body image scale (BIS), sexual activity questionnaire] 2 weeks before and 1 year after surgery.
Results
Both total and sub-total hysterectomy resulted with improvements in the women’s sexual satisfaction (1 year after surgery), but no statistically significant differences were reached between the two groups. A highly significant difference (
P
< 0.001) in the perception of the body image between total and sub-total hysterectomy, at 1 year after surgery, was underlined. The health-related quality of life resulted significantly better in the “sub-total hysterectomy” group 1 year after surgery (
P
< 0.05).
Conclusion
Considering these results, why should a total hysterectomy be performed, if the women’s satisfaction seems to be higher using the sub-total technique? In our opinion, the woman undergoing hysterectomy for benign conditions must be counseled regarding the differences between the two techniques and, when possible, a choice must be offered to the woman.</description><subject>Adult</subject><subject>Body Image</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Hysterectomy - adverse effects</subject><subject>Hysterectomy - methods</subject><subject>Hysterectomy - psychology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Menstruation Disturbances - etiology</subject><subject>Menstruation Disturbances - psychology</subject><subject>Menstruation Disturbances - surgery</subject><subject>Middle Aged</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Original Article</subject><subject>Ovarian Diseases - complications</subject><subject>Ovarian Diseases - psychology</subject><subject>Ovarian Diseases - surgery</subject><subject>Patient Satisfaction</subject><subject>Pelvic Pain - etiology</subject><subject>Pelvic Pain - psychology</subject><subject>Pelvic Pain - surgery</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Self image</subject><subject>Sexual Behavior</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Uterine Diseases - complications</subject><subject>Uterine Diseases - psychology</subject><subject>Uterine Diseases - surgery</subject><subject>Women</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LxDAQhoMo7rr6A7xIQfBWnXw0Sb3J-gkLXvQc0jTVLttmTVJl_71ZurAgeMqEeead4UHoHMM1BhA3AYABywFkDhwXOT9AU8woyUFgfIimUG5r4GKCTkJYAmAiJT9GEywplViIKbp_3oRovTXRdZtM93X24zrbZ0HHNjTaxNb1t1l0Ua-yb-vDELIwVOM_WvPZt1-DPUVHjV4Fe7Z7Z-j98eFt_pwvXp9e5neL3FABMS8qzVkJXGKQTSUskUKA1WVNGTFMcm50zatGFxYaU-KSCgO1gKaoGKvL2tIZuhpz196ltSGqrg3Grla6t24IipcFFiBEAi__gEs3-D7dpgjhWEpJKEsUHinjXQjeNmrt2077jcKgtoLVKFglwWorWPE0c7FLHqrO1vuJndEEkBEIqdV_WL9f_X_qL4EthdU</recordid><startdate>20081101</startdate><enddate>20081101</enddate><creator>Gorlero, Franco</creator><creator>Lijoi, Davide</creator><creator>Biamonti, Mariangela</creator><creator>Lorenzi, Paola</creator><creator>Pullè, Alberto</creator><creator>Dellacasa, Illaria</creator><creator>Ragni, Nicola</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20081101</creationdate><title>Hysterectomy and women satisfaction: total versus subtotal technique</title><author>Gorlero, Franco ; Lijoi, Davide ; Biamonti, Mariangela ; Lorenzi, Paola ; Pullè, Alberto ; Dellacasa, Illaria ; Ragni, Nicola</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-5ba649068108fb7e28770ea9d342c4866cad6bfa5e0fc91937c0d70f5b44d9de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Body Image</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Hysterectomy - adverse effects</topic><topic>Hysterectomy - methods</topic><topic>Hysterectomy - psychology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Menstruation Disturbances - etiology</topic><topic>Menstruation Disturbances - psychology</topic><topic>Menstruation Disturbances - surgery</topic><topic>Middle Aged</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Original Article</topic><topic>Ovarian Diseases - complications</topic><topic>Ovarian Diseases - psychology</topic><topic>Ovarian Diseases - surgery</topic><topic>Patient Satisfaction</topic><topic>Pelvic Pain - etiology</topic><topic>Pelvic Pain - psychology</topic><topic>Pelvic Pain - surgery</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Self image</topic><topic>Sexual Behavior</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Uterine Diseases - complications</topic><topic>Uterine Diseases - psychology</topic><topic>Uterine Diseases - surgery</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gorlero, Franco</creatorcontrib><creatorcontrib>Lijoi, Davide</creatorcontrib><creatorcontrib>Biamonti, Mariangela</creatorcontrib><creatorcontrib>Lorenzi, Paola</creatorcontrib><creatorcontrib>Pullè, Alberto</creatorcontrib><creatorcontrib>Dellacasa, Illaria</creatorcontrib><creatorcontrib>Ragni, Nicola</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gorlero, Franco</au><au>Lijoi, Davide</au><au>Biamonti, Mariangela</au><au>Lorenzi, Paola</au><au>Pullè, Alberto</au><au>Dellacasa, Illaria</au><au>Ragni, Nicola</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hysterectomy and women satisfaction: total versus subtotal technique</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2008-11-01</date><risdate>2008</risdate><volume>278</volume><issue>5</issue><spage>405</spage><epage>410</epage><pages>405-410</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Introduction
The impact of different surgical procedures on women’s satisfaction after hysterectomy is a topical issue. The aim of this study was to investigate the impact of sub-total and total hysterectomy on women’s satisfaction, evaluated with questionnaire assessment of sexual activity, body image, and health status.
Materials and methods
A prospective, randomized, non-blind study was conducted. In the study period of 3 years, 105 women were enrolled and completed the questionnaires [EuroQol (EQ-5D), body image scale (BIS), sexual activity questionnaire] 2 weeks before and 1 year after surgery.
Results
Both total and sub-total hysterectomy resulted with improvements in the women’s sexual satisfaction (1 year after surgery), but no statistically significant differences were reached between the two groups. A highly significant difference (
P
< 0.001) in the perception of the body image between total and sub-total hysterectomy, at 1 year after surgery, was underlined. The health-related quality of life resulted significantly better in the “sub-total hysterectomy” group 1 year after surgery (
P
< 0.05).
Conclusion
Considering these results, why should a total hysterectomy be performed, if the women’s satisfaction seems to be higher using the sub-total technique? In our opinion, the woman undergoing hysterectomy for benign conditions must be counseled regarding the differences between the two techniques and, when possible, a choice must be offered to the woman.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18338177</pmid><doi>10.1007/s00404-008-0615-6</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Body Image Endocrinology Female Follow-Up Studies Gynecology Human Genetics Humans Hysterectomy Hysterectomy - adverse effects Hysterectomy - methods Hysterectomy - psychology Medicine Medicine & Public Health Menstruation Disturbances - etiology Menstruation Disturbances - psychology Menstruation Disturbances - surgery Middle Aged Obstetrics/Perinatology/Midwifery Original Article Ovarian Diseases - complications Ovarian Diseases - psychology Ovarian Diseases - surgery Patient Satisfaction Pelvic Pain - etiology Pelvic Pain - psychology Pelvic Pain - surgery Quality of Life Questionnaires Self image Sexual Behavior Surgery Treatment Outcome Uterine Diseases - complications Uterine Diseases - psychology Uterine Diseases - surgery Women |
| title | Hysterectomy and women satisfaction: total versus subtotal technique |
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