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Patient-reported quality-of-life and sexual-function outcomes after laparoscopic supracervical hysterectomy (LSH) versus total laparoscopic hysterectomy (TLH): a prospective, questionnaire-based follow-up study in 915 patients

  • General Gynecology
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Abstract

Purpose

To compare patient-reported quality-of-life and sexual function outcomes in women after laparoscopic supracervical hysterectomy (LSH) or total laparoscopic hysterectomy (TLH) for benign uterine disease.

Methods

Out of a cohort of 1,952 patients from a previous implementation study of LSH and TLH, 1,886 patients who had not undergone intraoperative conversion to laparotomy or were ineligible for other reasons were invited by mail to participate in this prospective, questionnaire-based follow-up study.

Results

Of the 915/1,952 (48.5 %) survey respondents included in the analysis, 788 (86.1 %) and 127 (13.9 %) had undergone LSH or TLH, respectively. Women undergoing LSH reported significantly lower pain levels (p = 0.037) and faster partial (p = 0.015) and complete (p < 0.001) resumption of normal daily activities compared to those undergoing TLH. As regards sexual function, women undergoing LSH resumed sexual activity significantly sooner (p = 0.018), rated sexual desire as higher (p = 0.023), and reported more frequently that their sexual life had improved postoperatively (p = 0.008) than did women undergoing TLH.

Conclusions

Women undergoing LSH for benign uterine disease may have better outcomes regarding certain quality-of-life and sexual function parameters than women undergoing TLH for benign uterine disease.

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Acknowledgments

The authors thank Adam Kasperkowiak for excellent technical assistance.

Conflict of interest

We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Tübingen University Hospital, Tübingen, Germany

    Sara Y. Brucker, Florin-Andrei Taran, Sandra Ebersoll, Christian W. Wallwiener, Birgitt Schönfisch, Bernhard Krämer, Harald Abele, Felix Neis & Diethelm Wallwiener

  2. Department of Obstetrics and Gynecology, District Hospital, Heppenheim, Germany

    Sandra Bogdanyova

  3. Department of Obstetrics and Gynecology, Heidelberg University Hospital, University of Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany

    Christof Sohn, Stephanie Gawlik & Markus Wallwiener

Authors
  1. Sara Y. Brucker
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  2. Florin-Andrei Taran
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  3. Sandra Bogdanyova
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  4. Sandra Ebersoll
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  5. Christian W. Wallwiener
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  6. Birgitt Schönfisch
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  7. Bernhard Krämer
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  8. Harald Abele
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  9. Felix Neis
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  10. Christof Sohn
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  11. Stephanie Gawlik
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  12. Diethelm Wallwiener
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  13. Markus Wallwiener
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Corresponding author

Correspondence to Markus Wallwiener.

Additional information

S. Y. Brucker and F.-A. Taran are equal contributors and joint first authors. D. Wallwiener and M. Wallwiener are equal contributors and joint senior authors.

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Brucker, S.Y., Taran, FA., Bogdanyova, S. et al. Patient-reported quality-of-life and sexual-function outcomes after laparoscopic supracervical hysterectomy (LSH) versus total laparoscopic hysterectomy (TLH): a prospective, questionnaire-based follow-up study in 915 patients. Arch Gynecol Obstet 290, 1141–1149 (2014). https://doi.org/10.1007/s00404-014-3318-1

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  • DOI: https://doi.org/10.1007/s00404-014-3318-1

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