Evidence map›Paper›PMID 42787194›Full record

ArticleFrontiers in surgery2026

Short-term sexual function after vNOTES vs. transumbilical single-port laparoscopic hysterectomy for benign indications: a retrospective cohort study.

Sertaç Ayçiçek, Mesut Ali Halisçelik, Pelin Değirmenci Ayçiçek, Abdurrahman Sengi, Ahmet Değirmenci

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Article in Frontiers in surgery, 2026. 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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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sertaç AyçiçekDepartment of Obstetrics and Gynecology, University of Health Sciences Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye.
Mesut Ali HalisçelikDepartment of Gynecologic Oncology, University of Health Sciences Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye.
Pelin Değirmenci AyçiçekDepartment of Obstetrics and Gynecology, University of Health Sciences Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye.
Abdurrahman SengiDepartment of Obstetrics and Gynecology, University of Health Sciences Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye.
Ahmet DeğirmenciDepartment of Obstetrics and Gynecology, Ergani State Hospital, Diyarbakır, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sexual function is an important patient-reported outcome after hysterectomy but remains underreported in direct comparisons of scar-minimizing surgical approaches. This study compared short-term sexual function, perioperative outcomes, and postoperative pain between transumbilical single-port laparoscopic hysterectomy and vaginal natural orifice transluminal endoscopic surgery (vNOTES) for benign gynecologic indications. Methods: This retrospective cohort study included 90 consecutive eligible patients treated between January 2023 and January 2025: 49 underwent transumbilical single-port laparoscopic hysterectomy and 41 underwent vNOTES hysterectomy. Surgical route was selected according to patient preference after preoperative counseling. The primary outcome was the change in total Female Sexual Function Index (FSFI) score from baseline to 3 months postoperatively ( Results: Baseline age, BMI, parity, menopausal status, previous cesarean delivery, and uterine weight were comparable between groups. Median operative time was shorter with vNOTES than with single-port laparoscopy [58 (IQR, 55-65) vs. 79 (IQR, 75-87) min; Conclusions: vNOTES hysterectomy was associated with shorter operative time, shorter hospital stay, lower postoperative pain, and less frequent additional analgesic requirement than transumbilical single-port laparoscopy, while short-term sexual-function outcomes were comparable between techniques. These findings support vNOTES as a feasible scar-minimizing alternative for appropriately selected patients undergoing hysterectomy for benign gynecologic disease.

Indexed as

female sexual function indexhysterectomysexual functionsingle-port laparoscopyvNOTES

Identifiers

PMID42787194
PMCPMC13601242

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.