Effect of Deep Infiltrative Endometriosis Surgery and Surgical Method on Sexual Function in Females
This study compared sexual function in females with deep infiltrative endometriosis to healthy controls and found that surgery improved sexual function, with laparotomy yielding better results than laparoscopy.
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This retrospective observational preprint studied whether excision surgery and the surgical approach (laparotomy vs laparoscopy) affect sexual function in 140 patients diagnosed with deep infiltrative endometriosis (DIE) and reporting dyspareunia, compared with 70 healthy females from a family planning clinic. Pre- and 6-month post-surgery Female Sexual Function Index (FSFI), Quality of Sexual Experience Scale (QSES), and VAS dyspareunia scores were extracted from records, with inclusion limited to histologically confirmed DIE and excluding several cancer, radiotherapy/chemotherapy, and comorbidity histories. The healthy group had higher FSFI and QSES scores and lower dyspareunia VAS than both DIE pre- and post-surgery groups, while DIE patients showed improved FSFI and QSES and reduced dyspareunia at 6 months. Patients undergoing laparotomy had significantly higher FSFI and QSES than those undergoing laparoscopy, though a key limitation is the retrospective design and reliance on clinic files. This paper is centrally about endometriosis — specifically deep infiltrative endometriosis surgery and how surgical method affects sexual function and dyspareunia outcomes.
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