Sofia Prekatsounaki, Jan J A Bosteels, Jan F Baekelandt, Ben W J Mol, Paul Enzlin
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引用次数: 0
Abstract
Objective: To explore women's sexual functioning and associated quality of life after vaginal natural orifice transluminal endoscopic surgery (vNOTES) as an alternative to laparoscopy.
Design: Two parallel group, 1:1 randomized single-centre single-blinded trials comparing the effects of vNOTES and laparoscopy.
Setting: Gynaecology unit of a Belgian teaching hospital.
Population: Women aged between 18 and 70 years with a benign indication for hysterectomy or adnexectomy.
Methods: After informed consent, women were randomized for vNOTES (experimental group) or laparoscopy (control group). Participants and outcome assessors were blinded. Paper and pencil questionnaires before surgery, as well as at 3 and 6 months after surgery.
Main outcome measures: The outcome of interest in this secondary analysis was sexual functioning at 3 and 6 months after surgery. We additionally measured quality of life.
Results: We studied 68 women allocated to the vNOTES (experimental) condition and 67 women allocated to the laparoscopy (control) condition. No significant effects of time, type of surgery, and surgical technique were found on patients' sexual function. At 3 and 6 months post-surgery, an increasing number of negative associations were found between quality of life and aspects of sexual functioning.
Conclusions: vNOTES applied for hysterectomy and adnexectomy as compared to laparoscopy does not have a differential impact on women's sexual functioning. Sexual function has few links to patients' quality of life before surgery, but grows in relevance as a negative correlate of quality of life after surgery.
期刊介绍：
The Journal of Sexual Medicine publishes multidisciplinary basic science and clinical research to define and understand the scientific basis of male, female, and couples sexual function and dysfunction. As an official journal of the International Society for Sexual Medicine and the International Society for the Study of Women''s Sexual Health, it provides healthcare professionals in sexual medicine with essential educational content and promotes the exchange of scientific information generated from experimental and clinical research.
The Journal of Sexual Medicine includes basic science and clinical research studies in the psychologic and biologic aspects of male, female, and couples sexual function and dysfunction, and highlights new observations and research, results with innovative treatments and all other topics relevant to clinical sexual medicine.
The objective of The Journal of Sexual Medicine is to serve as an interdisciplinary forum to integrate the exchange among disciplines concerned with the whole field of human sexuality. The journal accomplishes this objective by publishing original articles, as well as other scientific and educational documents that support the mission of the International Society for Sexual Medicine.
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