Evidence map›Paper›PMID 42251612›Full record

ArticleArchives of gynecology and obstetrics2026

Sexual functioning after total versus subtotal laparoscopic hysterectomy-long term follow up results after 7 years.

Tobias Brodkorb, Ahmed Elnahrawy, Saskia Spaich, Marc Sütterlin, Sebastian Berlit, Benjamin Tuschy, Lukas Goerdt

Abstract readComparative Study
In one paragraph

Article in Archives of gynecology and obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tobias BrodkorbDepartment of Gynecology and Obstetrics, Medical Faculty Mannheim, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany.
Ahmed ElnahrawyDepartment of Gynecology and Obstetrics, Medical Faculty Mannheim, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany.
Saskia SpaichDepartment of Gynecology and Obstetrics, Medical Faculty Mannheim, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany.
Marc SütterlinDepartment of Gynecology and Obstetrics, Medical Faculty Mannheim, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany.
Sebastian BerlitDepartment of Gynecology and Obstetrics, RKH Hospital Ludwigsburg, Ludwigsburg, Germany.
Benjamin TuschyDepartment of Gynecology and Obstetrics, Medical Faculty Mannheim, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany.
Lukas GoerdtDepartment of Gynecology and Obstetrics, Medical Faculty Mannheim, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany. lukas.goerdt@umm.de.ORCID 0009-0009-7102-3350

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate sexual function in the long term after total laparoscopic hysterectomy (TLH) versus laparoscopic supracervical hysterectomy (LASH) in patients with benign indications.

methodsAs part of a longitudinal follow-up, 74 patients who had originally participated in a prospective study on sexual function after TLH or LASH were surveyed again (TLH: n = 45; LASH: n = 29). The median follow-up period was 92 months (TLH) and 98 months (LASH). Sexual function was assessed using the validated Female Sexual Function Index (FSFI). Statistical analyses were performed using a 2 sample t test, Chi

resultsOver the long term, there was no significant difference in the FSFI total score between TLH and LASH (22.51 vs. 22.25, p-value: 0.261). Within the TLH group, sexual function remained stable compared to baseline data (p = 0.20). In contrast, the LASH group showed a significant deterioration in the total score (p = 0.028), particularly in the lubrication (p = 0.007) over time.

conclusionBoth surgical methods ensure comparable sexual function. While TLH shows stable results over the years, LASH shows a significant decrease in some areas of sexual function, particularly with regard to lubrication. However, these differences do not result in a significantly worse overall outcome compared to TLH.

Indexed as

HysterectomyLaparoscopySexual Dysfunction, PhysiologicalAdultFemaleFollow-Up StudiesHumansLongitudinal StudiesMiddle AgedProspective StudiesCervixLaparoscopic hysterectomySexual functioningSupracervical hysterectomy

Identifiers

PMID42251612
PMCPMC13243322

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