مقايسه رضايت جنسي در دو روش هيستركتومي شكمي توتال و هيستركتومي شكمي ساب توتال

Sexual satisfaction in total and subtotal abdominal hysterectomy: a randomized clinical trial

Background: Abdominal hysterectomy is one of the therapeutic options in treatment of gynecologic diseases. The most conunon methods are total and subtotal abd ominal hysterectomy. The effect of hyst erectomy on sex ual ity is not full y under stood and , until recently, tot al and subtotal abdominal hysterectom ies have been compared only in observati onal studies . In this s tudy, we compare total vs . su btotal abdominal hys terectomy in terms of surg ical complic ations and postopera tive sex ual fun ction of pati ents . Methods: In a sing le-blinded rand omi zed clini cal trial , we e nro lled 25 pati ent s who underwent subtotal abdomina l hyster ectomy (STAH), and 25 patients who underwent tot al abdominal hysterectomy (TAH). All pati ent s were followed for 24 months after surge ry . Three, s ix, 12 and 24 months after the proc edures, all variab les were compared between the se two groups . Results: The duration of ope ra tion (p=O007), volume of bleedin g (p=0.0007) and dur ation of hospit al s tay after surgery (p=O.03) were less in the STAH group than the TAH group . No complications were experience d du rin g the opera tion, nor excess ive post-oper ative pain or infection for either gro up. No significa nt differenc es were see n betw een the two groups with rega rd to dysp areuni a, sexual satisfaction of the patients and their partners wer e. Spot bleeding in the STAH group was significa ntly more frequ ent than in the TAH gro up. Conclusion: TAH and STAH do not have sign ifica ntly different outcom es with rega rd to sexual sa tis faction and function and surg ica l complications .