ArticleActa obstetricia et gynecologica Scandinavica2024
Pelvic floor and sexual function 3 years after hysterectomy - A prospective cohort study.
Article in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.
- Assessment of Sexual Function Following Hysterectomy: A Systematic Review and Meta-Analysis.Medical sciences (Basel, Switzerland) · 2026Pooled it
- Hysterectomy and the risk of urinary incontinence: a systematic review and meta-analysis.Frontiers in urology · 2026Pooled it
- Sexual and Psychological Outcomes After Vaginal Surgery for Pelvic Organ Prolpase and Stress Urinary Incontinence.International urogynecology journal · 2026Observational
- Article
- Case Report: A giant uterine leiomyoma with pseudo-Meigs syndrome combined with a triad of umbilical hernia-prolapse-thrombosis.Frontiers in reproductive health · 2026Article
- Female Sexual Dysfunction After High-Intensity Focused Ultrasound versus Laparoscopic Total Hysterectomy for Adenomyosis: Associations with Anxiety and Depression.International journal of women's health · 2026Article
- Sexual function and pelvic floor function five years after hysterectomy.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Innovative classification system for enlarged uterus in laparoscopic and robotic hysterectomy with complications and pain scores.Journal of robotic surgery · 2025Article
- Long-term Outcomes of Laparoscopic Sacrohysteropexy with SERATEXInternational urogynecology journal · 2025Article
- Investigating the Impact of Benign Indication Hysterectomy on Pelvic Floor Symptoms and Sexual Function: A Prospective Study Integrating Pelvic Floor Ultrasonography and Surface Electromyography Test.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Hysterectomy is not associated with increased risk of urinary incontinence-a northern Finland birth cohort 1966 study.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Impact on Sexual Function and Wish for Subsequent Pregnancy after Uterus-Preserving Prolapse Surgery in Premenopausal Women.Journal of clinical medicine · 2024Article
- Pelvic floor and sexual function 3 years after hysterectomy - A prospective cohort study.Acta obstetricia et gynecologica Scandinavica · 2024Article
- A longitudinal, qualitative exploration of women's sexual recovery following surgical repair of pelvic organ prolapse.Women's health (London, England)Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
introductionLong term effects after hysterectomy, such as a worsening of pelvic floor and sexual function, have been studied with diverse results. Therefore, we investigated the long-term effects of hysterectomy for benign indication on pelvic floor and sexual function as well as differences in outcome depending on mode of hysterectomy. MATERIAL AND
methodsIn a prospective clinical cohort study, we included 260 women scheduled for hysterectomy who answered validated questionnaires; pelvic floor impact questionnaire (PFIQ-7), pelvic floor distress inventory (PFDI-20) and female sexual function index (FSFI). Participants were followed up to 3 years after surgery. Nonparametric statistics and mixed effect models were used in analyses of the data.
resultsAfter exclusions, 242 women remained in the study, with a response rate at the 3-year follow-up of 154/242 (63.6%) for all questionnaires. There was an improvement of pelvic floor function with a mean score of PFIQ-7 at baseline of 42.5 (SD 51.7) and at 3 years 22.7 (SD 49.4), (p < 0.001) and mean score of PFDI-20 at baseline was 69.6 (SD 51.1) and at 3 years 56.2 (SD 54.6), (p = 0.001). A deterioration of sexual function was seen among the sexually active women after 3 years with a mean score of FSFI at baseline 25.2 (SD 6.6) and after 3 years 21.6 (SD 10.1), (p < 0.001). However, this was not consistent with the unaltered sexual function for the whole cohort. No difference in pelvic floor or sexual function was detected when comparing robotic assisted laparoscopic hysterectomy, laparoscopic hysterectomy and abdominal hysterectomy.
conclusionsThree years after surgery robotic assisted laparoscopic hysterectomy, total laparoscopic hysterectomy and abdominal hysterectomy improve pelvic floor function to the same extent. Among the sexually active women, a decline of sexual function was seen after 3 years, not consistent with the entire cohort and independent of surgical methods. Whether this is a trend associated with aging or menopausal transition remains to be studied.
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