Marie Timmermans, Hripsime Hovsepyan, Panayiotis Tanos, Michelle Nisolle, Stavros Karampelas
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A minimally invasive alternative, Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES), allows hysterectomy via vaginal access using a combination of endoscopic and laparoscopic techniques.</p><p><strong>Objectives: </strong>To evaluate if sexual quality of life (sQoL) is impaired by using vNOTES for hysterectomy compared to conventional laparoscopy in benign gynaecology.</p><p><strong>Methods: </strong>A retrospective monocentric study. One hundred and twenty seven patients were included in the study. Of these, 91 underwent TLH and 36 vNOTES hysterectomies between September 2020 and October 2022 at Brugmann University Hospital.</p><p><strong>Main outcome measures: </strong>This study compares sQoL after hysterectomy performed via conventional laparoscopy versus vNOTES for benign gynecological conditions.</p><p><strong>Results: </strong>Regarding surgical characteristics, there were no differences between the two groups in terms of operative time, drop in blood haemoglobin levels and days of hospitalisation. Arousal and Orgasm scores are improved post-operatively in patients suffering from adenomyosis (4.47 vs. 3.91 <i>P</i> 0.04 for arousal and 5.07 vs. 4.26, <i>P</i> 0.016 for orgasm).</p><p><strong>Conclusions: </strong>The vNOTES method shows shorter hospital stay and faster re-introduction to sexual life over conventional laparoscopy for total hysterectomy in patients with benign gynaecology.</p><p><strong>What is new: </strong>Our study shows that in patients suffering from adenomyosis, sQoL improved after hysterectomy using the vNOTES approach.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"17 1","pages":"68-74"},"PeriodicalIF":1.7000,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042153/pdf/","citationCount":"0","resultStr":"{\"title\":\"Sexual quality of life after hysterectomy performed by conventional laparoscopy versus Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) in benign gynaecology.\",\"authors\":\"Marie Timmermans, Hripsime Hovsepyan, Panayiotis Tanos, Michelle Nisolle, Stavros Karampelas\",\"doi\":\"10.52054/FVVO.2024.13784\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Hysterectomy is a common surgical procedure in gynaecology, performed through abdominal, vaginal, and laparoscopic techniques. The vaginal route is typically preferred for benign conditions like fibroids, adenomyosis, and uterine prolapse due to shorter operative time, faster recovery, reduced pain, and fewer complications. In cases where the uterus is large or vaginal access is restricted, a laparoscopic approach may be necessary. A minimally invasive alternative, Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES), allows hysterectomy via vaginal access using a combination of endoscopic and laparoscopic techniques.</p><p><strong>Objectives: </strong>To evaluate if sexual quality of life (sQoL) is impaired by using vNOTES for hysterectomy compared to conventional laparoscopy in benign gynaecology.</p><p><strong>Methods: </strong>A retrospective monocentric study. One hundred and twenty seven patients were included in the study. Of these, 91 underwent TLH and 36 vNOTES hysterectomies between September 2020 and October 2022 at Brugmann University Hospital.</p><p><strong>Main outcome measures: </strong>This study compares sQoL after hysterectomy performed via conventional laparoscopy versus vNOTES for benign gynecological conditions.</p><p><strong>Results: </strong>Regarding surgical characteristics, there were no differences between the two groups in terms of operative time, drop in blood haemoglobin levels and days of hospitalisation. Arousal and Orgasm scores are improved post-operatively in patients suffering from adenomyosis (4.47 vs. 3.91 <i>P</i> 0.04 for arousal and 5.07 vs. 4.26, <i>P</i> 0.016 for orgasm).</p><p><strong>Conclusions: </strong>The vNOTES method shows shorter hospital stay and faster re-introduction to sexual life over conventional laparoscopy for total hysterectomy in patients with benign gynaecology.</p><p><strong>What is new: </strong>Our study shows that in patients suffering from adenomyosis, sQoL improved after hysterectomy using the vNOTES approach.</p>\",\"PeriodicalId\":46400,\"journal\":{\"name\":\"Facts Views and Vision in ObGyn\",\"volume\":\"17 1\",\"pages\":\"68-74\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-03-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042153/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Facts Views and Vision in ObGyn\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.52054/FVVO.2024.13784\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Facts Views and Vision in ObGyn","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.52054/FVVO.2024.13784","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景：子宫切除术是一种常见的妇科手术，通过腹部、阴道和腹腔镜技术进行。由于手术时间短，恢复快，疼痛减轻，并发症少，阴道途径通常是良性疾病，如肌瘤，b子宫腺肌症和子宫脱垂的首选。在子宫较大或阴道通道受限的情况下，可能需要腹腔镜方法。阴道自然孔腔内窥镜手术（vNOTES）是一种微创的替代方法，它可以结合内窥镜和腹腔镜技术，通过阴道切除子宫。目的：评价良性妇科子宫切除术中使用vNOTES与常规腹腔镜相比是否会影响患者的性生活质量。方法：回顾性单中心研究。127名患者参与了这项研究。其中，91人在2020年9月至2022年10月期间在布鲁格曼大学医院接受了TLH和36例vNOTES子宫切除术。主要结局指标：本研究比较了通过常规腹腔镜子宫切除术和vNOTES治疗良性妇科疾病后的生存质量。结果：在手术特点方面，两组在手术时间、血红蛋白水平下降和住院天数方面无差异。子宫腺肌症患者的性唤起和性高潮评分在术后得到改善（性唤起4.47比3.91 P 0.04，性高潮5.07比4.26 P 0.016）。结论：在妇科良性全子宫切除术中，vNOTES方法比传统腹腔镜更短的住院时间和更快的恢复性生活。新发现：我们的研究表明，在患有子宫腺肌症的患者中，使用vNOTES方法进行子宫切除术后，sQoL得到改善。
Sexual quality of life after hysterectomy performed by conventional laparoscopy versus Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) in benign gynaecology.
Background: Hysterectomy is a common surgical procedure in gynaecology, performed through abdominal, vaginal, and laparoscopic techniques. The vaginal route is typically preferred for benign conditions like fibroids, adenomyosis, and uterine prolapse due to shorter operative time, faster recovery, reduced pain, and fewer complications. In cases where the uterus is large or vaginal access is restricted, a laparoscopic approach may be necessary. A minimally invasive alternative, Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES), allows hysterectomy via vaginal access using a combination of endoscopic and laparoscopic techniques.
Objectives: To evaluate if sexual quality of life (sQoL) is impaired by using vNOTES for hysterectomy compared to conventional laparoscopy in benign gynaecology.
Methods: A retrospective monocentric study. One hundred and twenty seven patients were included in the study. Of these, 91 underwent TLH and 36 vNOTES hysterectomies between September 2020 and October 2022 at Brugmann University Hospital.
Main outcome measures: This study compares sQoL after hysterectomy performed via conventional laparoscopy versus vNOTES for benign gynecological conditions.
Results: Regarding surgical characteristics, there were no differences between the two groups in terms of operative time, drop in blood haemoglobin levels and days of hospitalisation. Arousal and Orgasm scores are improved post-operatively in patients suffering from adenomyosis (4.47 vs. 3.91 P 0.04 for arousal and 5.07 vs. 4.26, P 0.016 for orgasm).
Conclusions: The vNOTES method shows shorter hospital stay and faster re-introduction to sexual life over conventional laparoscopy for total hysterectomy in patients with benign gynaecology.
What is new: Our study shows that in patients suffering from adenomyosis, sQoL improved after hysterectomy using the vNOTES approach.
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