Sexuality after total vs. subtotal hysterectomy
Background. The effect of hysterectomy on sexuality is not fully elucidated and until recently total and subtotal hysterectomies have only been compared in observational studies. Aims. To compare total abdominal hysterectomy (TAH) to subtotal abdominal hysterectomy (SAH) regarding effects on sexua...
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| Veröffentlicht in: | Acta obstetricia et gynecologica Scandinavica 2004-02, Vol.83 (2), p.191-196 |
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| creator | Zobbe, Vibeke Gimbel, Helga Andersen, Birthe Margrethe Filtenborg, Thomas Jakobsen, Kristian SØrensen, Helle Christina Toftager-Larsen, Kim Sidenius, Katrine MØller, Nini Madsen, Ellen Merete Vejtorp, Mogens Clausen, Helle Rosgaard, Annie Gluud, Christian Ottesen, Bent S. Tabor, Ann |
| description | Background. The effect of hysterectomy on sexuality is not fully elucidated and until recently total and subtotal hysterectomies have only been compared in observational studies.
Aims. To compare total abdominal hysterectomy (TAH) to subtotal abdominal hysterectomy (SAH) regarding effects on sexuality.
Methods. In a Danish multicenter trial 319 women were randomized to TAH (n = 158) or SAH (n = 161); 185 women had self‐selected TAH (n = 80) or SAH (n = 105) in a simultaneously conducted observational study. Women were followed for 1 year by strict data collection procedures, including postal questionnaires. Results were analyzed by intention to treat (ITT) analyses.
Results. No significant differences were observed between TAH and SAH at 1‐year follow‐up in both the randomized trial and the observational study regarding women's desire for sex, frequency of intercourse, frequency of orgasm, quality of orgasm, localization of orgasm, satisfaction with sexual life, and dyspareunia. None of these sexual variables changed significantly from entry to the 1‐year follow‐up, apart from dyspareunia, which was significantly (p = 0.009) reduced in both intervention groups. Significant (p |
| doi_str_mv | 10.1111/j.0001-6349.2004.00311.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_80127832</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>80127832</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4341-343e70f0c501f65cb748bee13d866e94f6d0a9bd0883370e40baf8227cf5d3b73</originalsourceid><addsrcrecordid>eNqNkEFPgzAUxxujcXP6FQwXvcFeaaGQeFmMosniNNN4bEppI5ONSUHh21tk2a720r709-97_SHkYPCwXdOVBwDYDQmNPR-A2pJg7LVHaIxDABco9o_ReA-N0JkxK1v5jEanaIQpC0JG4jGaLlXbiCKvO0foWlVOXdaicL6N55gmHYqPztgbJety3Z2jEy0Koy52-wS93d-93j6480XyeDubu5ISil1CiWKgQQaAdRjI1PZNlcIki8JQxVSHGYg4zSCKCGGgKKRCR77PpA4ykjIyQdfDu9uq_GqUqfk6N1IVhdiosjE86v8SEd-C0QDKqjSmUppvq3wtqo5j4L0svuK9B9574L0s_ieLtzZ6uevRpGuVHYI7Oxa42gHCSFHoSmxkbg5cEFjUDy13M3A_eaG6fw_AZ4vEHmzcHeK59dzu46L65HYMFvD3p4Qvl0CfXxLMGfkFxYiSjQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>80127832</pqid></control><display><type>article</type><title>Sexuality after total vs. subtotal hysterectomy</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Zobbe, Vibeke ; Gimbel, Helga ; Andersen, Birthe Margrethe ; Filtenborg, Thomas ; Jakobsen, Kristian ; SØrensen, Helle Christina ; Toftager-Larsen, Kim ; Sidenius, Katrine ; MØller, Nini ; Madsen, Ellen Merete ; Vejtorp, Mogens ; Clausen, Helle ; Rosgaard, Annie ; Gluud, Christian ; Ottesen, Bent S. ; Tabor, Ann</creator><creatorcontrib>Zobbe, Vibeke ; Gimbel, Helga ; Andersen, Birthe Margrethe ; Filtenborg, Thomas ; Jakobsen, Kristian ; SØrensen, Helle Christina ; Toftager-Larsen, Kim ; Sidenius, Katrine ; MØller, Nini ; Madsen, Ellen Merete ; Vejtorp, Mogens ; Clausen, Helle ; Rosgaard, Annie ; Gluud, Christian ; Ottesen, Bent S. ; Tabor, Ann</creatorcontrib><description>Background. The effect of hysterectomy on sexuality is not fully elucidated and until recently total and subtotal hysterectomies have only been compared in observational studies.
Aims. To compare total abdominal hysterectomy (TAH) to subtotal abdominal hysterectomy (SAH) regarding effects on sexuality.
Methods. In a Danish multicenter trial 319 women were randomized to TAH (n = 158) or SAH (n = 161); 185 women had self‐selected TAH (n = 80) or SAH (n = 105) in a simultaneously conducted observational study. Women were followed for 1 year by strict data collection procedures, including postal questionnaires. Results were analyzed by intention to treat (ITT) analyses.
Results. No significant differences were observed between TAH and SAH at 1‐year follow‐up in both the randomized trial and the observational study regarding women's desire for sex, frequency of intercourse, frequency of orgasm, quality of orgasm, localization of orgasm, satisfaction with sexual life, and dyspareunia. None of these sexual variables changed significantly from entry to the 1‐year follow‐up, apart from dyspareunia, which was significantly (p = 0.009) reduced in both intervention groups. Significant (p < 0.05) predictors for satisfaction with sexual life after hysterectomy were the preoperative satisfaction with sexual life [odds ratio (OR) 32, 95% confidence interval (CI) 10–125], good relationship with partner (OR 50, 95% CI 9–354), physical well‐being (OR 0.30, 95% CI 0.09–0.88) and hormone replacement therapy (OR 0.23, 95% CI 0.06–0.78).
Conclusions. Both TAH and SAH significantly reduce dyspareunia without having a negative effect on sexual function. The shift toward SAH seems unwarranted.</description><identifier>ISSN: 0001-6349</identifier><identifier>EISSN: 1600-0412</identifier><identifier>DOI: 10.1111/j.0001-6349.2004.00311.x</identifier><identifier>PMID: 14756739</identifier><identifier>CODEN: AOGSAE</identifier><language>eng</language><publisher>Oxford, UK; Malden, USA: Munksgaard International Publishers</publisher><subject>Biological and medical sciences ; Cervix Uteri - physiology ; Dyspareunia - prevention & control ; Female ; Follow-Up Studies ; Gynecology. Andrology. Obstetrics ; Humans ; Hysterectomy - methods ; Medical sciences ; questionnaire ; randomized clinical trial ; sexual function ; Sexuality ; subtotal abdominal hysterectomy ; Surveys and Questionnaires ; Time Factors ; total abdominal hysterectomy</subject><ispartof>Acta obstetricia et gynecologica Scandinavica, 2004-02, Vol.83 (2), p.191-196</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4341-343e70f0c501f65cb748bee13d866e94f6d0a9bd0883370e40baf8227cf5d3b73</citedby><cites>FETCH-LOGICAL-c4341-343e70f0c501f65cb748bee13d866e94f6d0a9bd0883370e40baf8227cf5d3b73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.0001-6349.2004.00311.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.0001-6349.2004.00311.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15514726$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14756739$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zobbe, Vibeke</creatorcontrib><creatorcontrib>Gimbel, Helga</creatorcontrib><creatorcontrib>Andersen, Birthe Margrethe</creatorcontrib><creatorcontrib>Filtenborg, Thomas</creatorcontrib><creatorcontrib>Jakobsen, Kristian</creatorcontrib><creatorcontrib>SØrensen, Helle Christina</creatorcontrib><creatorcontrib>Toftager-Larsen, Kim</creatorcontrib><creatorcontrib>Sidenius, Katrine</creatorcontrib><creatorcontrib>MØller, Nini</creatorcontrib><creatorcontrib>Madsen, Ellen Merete</creatorcontrib><creatorcontrib>Vejtorp, Mogens</creatorcontrib><creatorcontrib>Clausen, Helle</creatorcontrib><creatorcontrib>Rosgaard, Annie</creatorcontrib><creatorcontrib>Gluud, Christian</creatorcontrib><creatorcontrib>Ottesen, Bent S.</creatorcontrib><creatorcontrib>Tabor, Ann</creatorcontrib><title>Sexuality after total vs. subtotal hysterectomy</title><title>Acta obstetricia et gynecologica Scandinavica</title><addtitle>Acta Obstet Gynecol Scand</addtitle><description>Background. The effect of hysterectomy on sexuality is not fully elucidated and until recently total and subtotal hysterectomies have only been compared in observational studies.
Aims. To compare total abdominal hysterectomy (TAH) to subtotal abdominal hysterectomy (SAH) regarding effects on sexuality.
Methods. In a Danish multicenter trial 319 women were randomized to TAH (n = 158) or SAH (n = 161); 185 women had self‐selected TAH (n = 80) or SAH (n = 105) in a simultaneously conducted observational study. Women were followed for 1 year by strict data collection procedures, including postal questionnaires. Results were analyzed by intention to treat (ITT) analyses.
Results. No significant differences were observed between TAH and SAH at 1‐year follow‐up in both the randomized trial and the observational study regarding women's desire for sex, frequency of intercourse, frequency of orgasm, quality of orgasm, localization of orgasm, satisfaction with sexual life, and dyspareunia. None of these sexual variables changed significantly from entry to the 1‐year follow‐up, apart from dyspareunia, which was significantly (p = 0.009) reduced in both intervention groups. Significant (p < 0.05) predictors for satisfaction with sexual life after hysterectomy were the preoperative satisfaction with sexual life [odds ratio (OR) 32, 95% confidence interval (CI) 10–125], good relationship with partner (OR 50, 95% CI 9–354), physical well‐being (OR 0.30, 95% CI 0.09–0.88) and hormone replacement therapy (OR 0.23, 95% CI 0.06–0.78).
Conclusions. Both TAH and SAH significantly reduce dyspareunia without having a negative effect on sexual function. The shift toward SAH seems unwarranted.</description><subject>Biological and medical sciences</subject><subject>Cervix Uteri - physiology</subject><subject>Dyspareunia - prevention & control</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hysterectomy - methods</subject><subject>Medical sciences</subject><subject>questionnaire</subject><subject>randomized clinical trial</subject><subject>sexual function</subject><subject>Sexuality</subject><subject>subtotal abdominal hysterectomy</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>total abdominal hysterectomy</subject><issn>0001-6349</issn><issn>1600-0412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEFPgzAUxxujcXP6FQwXvcFeaaGQeFmMosniNNN4bEppI5ONSUHh21tk2a720r709-97_SHkYPCwXdOVBwDYDQmNPR-A2pJg7LVHaIxDABco9o_ReA-N0JkxK1v5jEanaIQpC0JG4jGaLlXbiCKvO0foWlVOXdaicL6N55gmHYqPztgbJety3Z2jEy0Koy52-wS93d-93j6480XyeDubu5ISil1CiWKgQQaAdRjI1PZNlcIki8JQxVSHGYg4zSCKCGGgKKRCR77PpA4ykjIyQdfDu9uq_GqUqfk6N1IVhdiosjE86v8SEd-C0QDKqjSmUppvq3wtqo5j4L0svuK9B9574L0s_ieLtzZ6uevRpGuVHYI7Oxa42gHCSFHoSmxkbg5cEFjUDy13M3A_eaG6fw_AZ4vEHmzcHeK59dzu46L65HYMFvD3p4Qvl0CfXxLMGfkFxYiSjQ</recordid><startdate>200402</startdate><enddate>200402</enddate><creator>Zobbe, Vibeke</creator><creator>Gimbel, Helga</creator><creator>Andersen, Birthe Margrethe</creator><creator>Filtenborg, Thomas</creator><creator>Jakobsen, Kristian</creator><creator>SØrensen, Helle Christina</creator><creator>Toftager-Larsen, Kim</creator><creator>Sidenius, Katrine</creator><creator>MØller, Nini</creator><creator>Madsen, Ellen Merete</creator><creator>Vejtorp, Mogens</creator><creator>Clausen, Helle</creator><creator>Rosgaard, Annie</creator><creator>Gluud, Christian</creator><creator>Ottesen, Bent S.</creator><creator>Tabor, Ann</creator><general>Munksgaard International Publishers</general><general>Taylor & Francis</general><scope>BSCLL</scope><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>200402</creationdate><title>Sexuality after total vs. subtotal hysterectomy</title><author>Zobbe, Vibeke ; Gimbel, Helga ; Andersen, Birthe Margrethe ; Filtenborg, Thomas ; Jakobsen, Kristian ; SØrensen, Helle Christina ; Toftager-Larsen, Kim ; Sidenius, Katrine ; MØller, Nini ; Madsen, Ellen Merete ; Vejtorp, Mogens ; Clausen, Helle ; Rosgaard, Annie ; Gluud, Christian ; Ottesen, Bent S. ; Tabor, Ann</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4341-343e70f0c501f65cb748bee13d866e94f6d0a9bd0883370e40baf8227cf5d3b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Cervix Uteri - physiology</topic><topic>Dyspareunia - prevention & control</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hysterectomy - methods</topic><topic>Medical sciences</topic><topic>questionnaire</topic><topic>randomized clinical trial</topic><topic>sexual function</topic><topic>Sexuality</topic><topic>subtotal abdominal hysterectomy</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>total abdominal hysterectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zobbe, Vibeke</creatorcontrib><creatorcontrib>Gimbel, Helga</creatorcontrib><creatorcontrib>Andersen, Birthe Margrethe</creatorcontrib><creatorcontrib>Filtenborg, Thomas</creatorcontrib><creatorcontrib>Jakobsen, Kristian</creatorcontrib><creatorcontrib>SØrensen, Helle Christina</creatorcontrib><creatorcontrib>Toftager-Larsen, Kim</creatorcontrib><creatorcontrib>Sidenius, Katrine</creatorcontrib><creatorcontrib>MØller, Nini</creatorcontrib><creatorcontrib>Madsen, Ellen Merete</creatorcontrib><creatorcontrib>Vejtorp, Mogens</creatorcontrib><creatorcontrib>Clausen, Helle</creatorcontrib><creatorcontrib>Rosgaard, Annie</creatorcontrib><creatorcontrib>Gluud, Christian</creatorcontrib><creatorcontrib>Ottesen, Bent S.</creatorcontrib><creatorcontrib>Tabor, Ann</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zobbe, Vibeke</au><au>Gimbel, Helga</au><au>Andersen, Birthe Margrethe</au><au>Filtenborg, Thomas</au><au>Jakobsen, Kristian</au><au>SØrensen, Helle Christina</au><au>Toftager-Larsen, Kim</au><au>Sidenius, Katrine</au><au>MØller, Nini</au><au>Madsen, Ellen Merete</au><au>Vejtorp, Mogens</au><au>Clausen, Helle</au><au>Rosgaard, Annie</au><au>Gluud, Christian</au><au>Ottesen, Bent S.</au><au>Tabor, Ann</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexuality after total vs. subtotal hysterectomy</atitle><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle><addtitle>Acta Obstet Gynecol Scand</addtitle><date>2004-02</date><risdate>2004</risdate><volume>83</volume><issue>2</issue><spage>191</spage><epage>196</epage><pages>191-196</pages><issn>0001-6349</issn><eissn>1600-0412</eissn><coden>AOGSAE</coden><abstract>Background. The effect of hysterectomy on sexuality is not fully elucidated and until recently total and subtotal hysterectomies have only been compared in observational studies.
Aims. To compare total abdominal hysterectomy (TAH) to subtotal abdominal hysterectomy (SAH) regarding effects on sexuality.
Methods. In a Danish multicenter trial 319 women were randomized to TAH (n = 158) or SAH (n = 161); 185 women had self‐selected TAH (n = 80) or SAH (n = 105) in a simultaneously conducted observational study. Women were followed for 1 year by strict data collection procedures, including postal questionnaires. Results were analyzed by intention to treat (ITT) analyses.
Results. No significant differences were observed between TAH and SAH at 1‐year follow‐up in both the randomized trial and the observational study regarding women's desire for sex, frequency of intercourse, frequency of orgasm, quality of orgasm, localization of orgasm, satisfaction with sexual life, and dyspareunia. None of these sexual variables changed significantly from entry to the 1‐year follow‐up, apart from dyspareunia, which was significantly (p = 0.009) reduced in both intervention groups. Significant (p < 0.05) predictors for satisfaction with sexual life after hysterectomy were the preoperative satisfaction with sexual life [odds ratio (OR) 32, 95% confidence interval (CI) 10–125], good relationship with partner (OR 50, 95% CI 9–354), physical well‐being (OR 0.30, 95% CI 0.09–0.88) and hormone replacement therapy (OR 0.23, 95% CI 0.06–0.78).
Conclusions. Both TAH and SAH significantly reduce dyspareunia without having a negative effect on sexual function. The shift toward SAH seems unwarranted.</abstract><cop>Oxford, UK; Malden, USA</cop><pub>Munksgaard International Publishers</pub><pmid>14756739</pmid><doi>10.1111/j.0001-6349.2004.00311.x</doi><tpages>6</tpages></addata></record> |
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| subjects | Biological and medical sciences Cervix Uteri - physiology Dyspareunia - prevention & control Female Follow-Up Studies Gynecology. Andrology. Obstetrics Humans Hysterectomy - methods Medical sciences questionnaire randomized clinical trial sexual function Sexuality subtotal abdominal hysterectomy Surveys and Questionnaires Time Factors total abdominal hysterectomy |
| title | Sexuality after total vs. subtotal hysterectomy |
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