Sexual Function following Laparoscopic versus Transvaginal Closure of the Vaginal Vault after Laparoscopic Hysterectomy: Secondary Analysis of a Randomized Trial by the Italian Society of Gynecological Endoscopy Using a Validated Questionnaire

Publication date: Available online 3 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Stefano Uccella, Vito Andrea Capozzi, Matteo Ricco’, Emanuele Perrone, Margherita Zanello, Stefania Ferrari, Pier Carlo Zorzato, Renato Seracchioli, Antonella Cromi, Maurizio Serati, Raffaella Ergasti, Francesco Fanfani, Roberto Berretta, Mario Malzoni, Stefano Cianci, Enrico Vizza, Maurizio Guido, Francesco Legge, Giuseppe Ciravolo, Salvatore Gueli AllettiAbstractStudy ObjectiveThe effect of the different types of vaginal cuff closures on posthysterectomy sexual function has not been investigated in depth. We evaluated if there is a difference between transvaginal versus a laparoscopic closure after total laparoscopic hysterectomy (TLH) on female sexual function, using a validated questionnaire.DesignSecondary analysis of a prospective randomized controlled trial.SettingThree academic research centers.PatientsWomen consenting to telephone interviews on their sexual life before and after undergoing TLH were included.InterventionsPatients were randomly assigned to a laparoscopic or transvaginal approach for vaginal cuff closure at the end of TLH for benign indications.Measurements and Main ResultsA validated questionnaire (the Female Sexual Function Index [FSFI]) was used to explore sexuality before and after the operation. Of the 1408 patients enrolled in the primary study, 400 patients were asked to complete the questionnaire. Of them, 182 (41.4%) were eligible and...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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