Abstract
ABSTRACT
The objective of the present study was to evaluate differences in libido and genital sexual sensitivity following established types of hysterectomy in cases of benign disease. These included the conventional vaginal (VH) and abdominal hysterectomy (AH), as well as the more modern, laparoscopy-assisted (LAVH) and pelviscopic (CASH) surgical techniques. The study was performed in a Vienna Hospital for Gynecology and Obstetrics in a prospective randomized manner. A total of 41 premenopausal, sexually active women were hysterectomized using one of the techniques cited and followed up for 1 year (3, 6, and 12 months). Measurement of sex hormones (E2, P, LH, and FSH), ovulation monitoring (basal temperature and vaginosonography), and the Kupperman score verified that the premenopasual status remained stable and constant throughout both the preoperative and postoperative periods. The quality of libido and genital sexual sensitivity was compared preoperatively and postoperatively within four assigned groups (based on surgical technique) with a score developed for this study. Since we found no significant differences concerning these two parameters, we conclude that in cases of noncancer-related disease, they do not constitute suitable criteria for deciding on a particular surgical method of uterine extirpation. (J GYNECOL SURG 11:127, 1995)
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