Laparoscopic total hysterectomy versus laparoscopic supracervical hysterectomy: The effect on female sexuality

Objective: This study was designed to compare the effects of laparoscopic total hysterectomy and laparoscopic supracervical hysterectomy on female sexual quality. Methods: A Prospective observational study over 6 months was performed. Ninety four patients who had laparoscopic hysterectomy for benign disease excluding uterine prolapse and endometriosis were recruited to the study. All patients completed a questionnaires for self report of changes in sexual quality before laparoscopic total or supracervical hysterectomy and six months after surgery. Results: Compared to the laparoscopic total hysterectomy group, those who had laparoscopic supracervical hysterectomy had a shorter time to the first intercourse after surgery (5.78 weeks vs. 4.92 weeks, p=0.001). The overall sexual quality after surgery remained unchanged; it was 90.2% for the total group and 87.2% for the supracervical laparoscopic hysterectomy cases. Conclusions: The quality of sexual life did not show significant change in most cases after either laparoscopic total hysterectomy or laparoscopic supracervical hysterectomy.