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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >The effect of different types of hysterectomy on urinary and sexual functions: a prospective study.
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The effect of different types of hysterectomy on urinary and sexual functions: a prospective study.

机译：不同类型子宫切除术对泌尿和性功能的影响：一项前瞻性研究。

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A prospective observational study was designed to evaluate the effect of the different techniques of hysterectomy on urinary and sexual function. One hundred and eighty-seven women aged 29 - 73 years and admitted for hysterectomy for various indications were recruited to the study. Women presenting primarily with major uterine prolapse and those requiring radical hysterectomy were excluded. Patients underwent one of four different techniques of hysterectomy: total abdominal, vaginal, laparoscopic or subtotal. All patients completed a standardised questionnaire addressing urinary and sexual symptoms and underwent urodynamic testing using the Lectromed 6000 System (Lectromed, Letchworth, Herts, UK) before and 6 months after surgery. Out of 187 women, 184 (98.4%) had completed data. Seventy-three patients (39%) had a total abdominal hysterectomy, 62 (34%) had vaginal, 38 (21%) had laparoscopic and 11 (6%) had subtotal hysterectomy. At 6 months after surgery, urinary symptoms occurred less frequently (P < 0.01) and urodynamic studies remained unchanged. Moreover, patients reported significantly lower rates of stress incontinence (P = 0.005), urgency (P = 0.03) and deep dyspareunia (P < 0.001) than before the operation, regardless of the hysterectomy technique used. The route of hysterectomy did not influence the outcome of surgery. We conclude that simple hysterectomy, whether performed abdominally, vaginally or laparoscopically, does not adversely affect urinary or sexual function at 6 months after surgery.
机译：设计了一项前瞻性观察性研究，以评估不同的子宫切除术技术对泌尿和性功能的影响。该研究招募了187名年龄在29-73岁并因各种适应症而接受子宫切除术的女性。主要表现为子宫严重脱垂的妇女和需要行子宫全切除术的妇女被排除在外。患者接受了四种子宫切除术中的一种：全腹，阴道，腹腔镜或小计。所有患者在手术前和术后6个月均完成了针对尿液和性症状的标准化调查表，并使用Lectromed 6000系统（Lectromed，Letchworth，Herts，UK）进行了尿动力学测试。在187名妇女中，有184名（98.4％）已完成数据。腹腔全子宫切除术73例（39％），阴道全子宫切除术62例（34％），腹腔镜全子宫切除术38例（21％），腹腔镜全切除术11例（6％）。术后6个月，泌尿系统症状的发生频率降低（P <0.01），尿动力学研究保持不变。此外，无论采用何种子宫切除术，患者均报告说其压力性尿失禁（P = 0.005），尿急（P = 0.03）和深度性交往困难（P <0.001）明显低于手术前。子宫切除术的路线不影响手术结果。我们得出的结论是，无论是在腹部，阴道还是在腹腔镜下进行简单的子宫切除术，在术后6个月都不会对泌尿或性功能产生不利影响。

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