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Conséquences fonctionnelles et psychosexuelles de l’hystérectomie

  • Chapter
Pelvi-périnéologie

Résumé

Les complications de l’hystérectomie peuvent être la conséquence de modifications organiques liées à la chirurgie. Les complications sont souvent fonctionnelles (douleur et troubles de la sexualité). Elles sont généralement préexistantes à la chirurgie et souvent sous-évaluées dans le bilan préopératoire. Elles sont alors particulièrement difficiles à traiter. La sexualité après hystérectomie ne doit pas être modifiée. En cas de troubles sexuels, il faut s’interroger sur l’état psychologique préopératoire des patientes et sur leur attente de cette chirurgie. Il existe des facteurs prédictifs de bon pronostic sur la sexualité: l’existence de troubles hémorragiques antérieurs, une dysménorrhée invalidante non calmée par les traitements médicaux et la chirurgie conservatrice (myomectomie, endométrectomie, thermothérapie). L’activité sexuelle régulière et satisfaisante en préopératoire est également un facteur de bon pronostic sur la qualité de la sexualité après l’hystérectomie.

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Authors and Affiliations

  1. Service de gynécologie obstétrique, CHU Pellegrin, Place Amélie Raba Léon, 33076, Bordeaux

    J.-P. Estrade

  2. Service de gynécologie obstétrique, CHU Pellegrin, 1, place Amélie Raba-Léon, 33076, Bordeaux

    G. André & A.-L. Sutter

  3. Service de gynécologie obstétrique, CHU Pellegrin, Place Amélie Raba-Léon, 33076, Bordeaux Cedex

    D. Dallay

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  1. J.-P. Estrade
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  2. G. André
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  3. A.-L. Sutter
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  4. D. Dallay
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© 2005 Springer-Verlag France

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Estrade, JP., André, G., Sutter, AL., Dallay, D. (2005). Conséquences fonctionnelles et psychosexuelles de l’hystérectomie. In: Pelvi-périnéologie. Springer, Paris. https://doi.org/10.1007/2-287-27807-9_34

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  • DOI: https://doi.org/10.1007/2-287-27807-9_34

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-00501-5

  • Online ISBN: 978-2-287-27807-5

  • eBook Packages: MedicineMedicine (R0)

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