ArticleFacts, views & vision in ObGyn2025
The impact of laparoscopic deep endometriosis surgery on sexual functioning and distress.
Article in Facts, views & vision in ObGyn, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Sexual functioning is a complex phenomenon driven by multiple physical, psychological and social factors, necessitating comprehensive evaluation. Objectives: To assess the impact of laparoscopic deep endometriosis (DE) surgery on sexual functioning and distress in comparison to healthy controls. Methods: Retrospective cohort study including 125 sexually active women who underwent DE surgery and who completed patient-reported outcome measurements (PROMs) pre- and postoperatively. Postoperative data were compared to prospectively collected data from 134 healthy controls. Main Outcome Measures: Postoperative female sexual function index (FSFI-9), including the FSFI-9 total score (percentage of best possible FSFI-9 score), and the Female Sexual Distress Scale-Revised score. Secondary outcomes included pain scores, depressive symptoms, quality of life (QoL), relational satisfaction and positive affect. Results: Sexual functioning significantly improved across all domains (desire, arousal, lubrication, orgasm, satisfaction, pain, distress) after DE surgery. The FSFI-9 total score increased from 65% pre-operatively [mean 29.3 (27.2, 31.23)] to 75% at 3 months [mean 33.6 (32.3, 34.9), Conclusions: DE surgery (including bowel surgery) does significantly improve sexual functioning and distress. However, sexual functioning and distress remain inferior compared to healthy peers. What is New?: This study provides comprehensive pre- and postoperative PROMs to assess the impact of DE surgery on sexual functioning and to evaluate other key influencing factors.
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