Assessment of physical and sexual quality of life in women undergoing planned hysterectomy in tertiary care hospital

Archana Kumari, Sunita Malik, Jugal Kishore
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2021 · vol. 10(6) , pp. 2448 · doi:10.18203/2320-1770.ijrcog20212191 · W3166703921
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This prospective study of women with benign indications excluding endometriosis found that elective hysterectomy improved physical and sexual quality of life, with abdominal routes showing greater sexual benefits than vaginal routes.

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This prospective observational study evaluated physical and sexual quality of life in 78 women undergoing elective hysterectomy for benign indications at a tertiary care hospital. Participants completed validated SF-36 and SQOL-F questionnaires prior to surgery and six months post-operatively, with specific exclusions for those with endometriosis or previous pelvic surgery. The results indicated significant improvements in both physical and sexual quality of life after the procedure, although emotional wellbeing worsened; additionally, sexual quality of life improved more significantly following abdominal hysterectomy compared to the vaginal route. Relevance to endometriosis: explicitly excluded from the study population as an inclusion criterion was the absence of endometriosis, meaning the paper does not address outcomes for patients with this condition.

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Abstract

Background: The objective of the study was physical and sexual quality of life (SQOL) in women undergoing elective hysterectomy following six months after surgery.Methods: This was a prospective observational study in which all women undergoing elective hysterectomies in the department and fulfilling inclusion criteria through any routes and benign indication were recruited after taking informed written consent. Women with endometriosis, previous pelvic surgery and emergency hysterectomies were excluded from study. Each woman was subjected quality QOL questionnaires-SF-36 and SQOL-F prior and six months after surgery. Questionnaires used were in their own language, validated and already tested in pilot study. The required sample size was 65 (taking 20% lost to follow up) by using Epi-info software, total 78 eligible women taken in the present study. All data was recorded on excel spread sheet and analysis done by SPSS-21.0 and Wilcoxon-test as appropriate.Results: All aspects of physical and sexual quality of life was found to have improved following hysterectomy. However, only emotional wellbeing worsened.Conclusions: Hysterectomy improves physical and sexual quality of life post-surgery but sexual quality of life improves more in abdominal route than vaginal route.
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Background

The objective of the study was physical and sexual quality of life (SQOL) in women undergoing elective hysterectomy following six months after surgery.

Methods

This was a prospective observational study in which all women undergoing elective hysterectomies in the department and fulfilling inclusion criteria through any routes and benign indication were recruited after taking informed written consent. Women with endometriosis, previous pelvic surgery and emergency hysterectomies were excluded from study. Each woman was subjected quality QOL questionnaires-SF-36 and SQOL-F prior and six months after surgery. Questionnaires used were in their own language, validated and already tested in pilot study. The required sample size was 65 (taking 20% lost to follow up) by using Epi-info software, total 78 eligible women taken in the present study. All data was recorded on excel spread sheet and analysis done by SPSS-21.0 and Wilcoxon-test as appropriate.

Results

All aspects of physical and sexual quality of life was found to have improved following hysterectomy. However, only emotional wellbeing worsened.

Conclusions

Hysterectomy improves physical and sexual quality of life post-surgery but sexual quality of life improves more in abdominal route than vaginal route. Metrics

References

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endometriosis

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