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首页> 外文期刊>The journal of sexual medicine >Sexual function after radical hysterectomy for early-stage cervical cancer: is there a difference between laparoscopy and laparotomy?
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Sexual function after radical hysterectomy for early-stage cervical cancer: is there a difference between laparoscopy and laparotomy?

机译：早期子宫颈癌根治性子宫切除术后的性功能：腹腔镜检查和剖腹手术之间有区别吗？

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INTRODUCTION: Surgical treatment for cervical cancer is associated with a high rate of late postoperative complications, and in particular with sexual dysfunction. AIM: To evaluate sexual function in women who underwent radical hysterectomy (RH), in comparison with a control group of healthy women, using a validated questionnaire (Female Sexual Function Index [FSFI]). Then we tried to evaluate the possible differences between laparoscopic RH and abdominal RH in terms of their impact on sexuality. METHODS: Consecutive sexually active women, who underwent RH for the treatment of early-stage cervical cancer between 2003 and 2007, were enrolled in this study (cases) and divided into two groups, according to the surgical approach. All women were administered the FSFI. The results of this questionnaire were compared between patients who underwent laparoscopic RH (LPS group) vs. women who underwent laparotomic RH (LPT group). The cases of RH were also compared with a control group of healthy women, who were referred to our outpatient clinic for a routine gynecologic evaluation. MAIN OUTCOME MEASURES: FSFI questionnaire on six domains of female sexuality (desire, arousal, lubrication, orgasm, satisfaction, pain). RESULTS: A total of 38 patients were included. We also enrolled 35 women as healthy controls. FSFI score was significantly higher in the healthy controls vs. the cases of RH. In the LPS group, the total score and all the domains of the FSFI were lower in comparison with the healthy controls, whereas three of the six domains (arousal, lubrication, orgasm) and the total score of FSFI were lower in the LPT group if compared with the controls. There were no significant differences between LPS and LPT group. CONCLUSIONS: RH worsens sexual function, regardless of the type of surgical approach. In our experience, laparoscopy did not show any benefit on women's sexuality over the abdominal surgery for cervical cancer.
机译：引言：宫颈癌的外科手术治疗与术后晚期并发症高发生率有关，特别是与性功能障碍有关。目的：使用经过验证的问卷（女性性功能指数[FSFI]），与接受健康检查的健康女性对照组相比，评估接受彻底子宫切除术（RH）的女性的性功能。然后，我们尝试评估腹腔镜RH和腹部RH在性方面的影响之间的可能差异。方法：本研究纳入了连续性生活活跃的女性，这些女性在2003年至2007年间接受过RH治疗早期宫颈癌，根据手术方法分为两组。所有妇女均接受FSFI治疗。在接受腹腔镜RH的患者（LPS组）与接受腹腔镜RH的妇女（LPT组）之间比较了该调查表的结果。还将RH病例与健康女性对照组进行了比较，将这些健康女性转诊至我们的门诊进行常规妇科评估。主要观察指标：FSFI调查表涉及女性性欲的六个领域（欲望，唤醒，润滑，性高潮，满意度，疼痛）。结果：共计38例患者。我们还招募了35名女性作为健康对照。健康对照组的FSFI评分明显高于RH病例。在LPS组中，与健康对照组相比，FSFI的总分和所有领域均较低，而在LPT组中，六个领域中的3个（耳，润滑，性高潮）和FSFI的总得分较低。与控件相比。 LPS组与LPT组之间无显着差异。结论：无论采用哪种手术方式，RH都会使性功能恶化。根据我们的经验，与宫颈癌的腹部手术相比，腹腔镜检查对女性的性行为没有任何益处。

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