A randomized trial comparing changes in psychological well-being and sexuality after laparoscopic and abdominal hysterectomy

Marie A Ellström, Marie Ellström, Monica Åström, Monica Aström, Anders Möller, Jan-Henrik Olsson, Jan‐Henrik Olsson, Mats Hahlin
Acta obstetricia et gynecologica Scandinavica · 2003 · vol. 82(9) , pp. 871–875 · doi:10.1080/j.1600-0412.2003.00216.x · PMID:12911451 · W2008248705
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This randomized trial found no significant differences in psychological well-being or sexuality between women who underwent laparoscopic hysterectomy and those who underwent abdominal hysterectomy one year post-surgery.

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Abstract

BACKGROUND: To evaluate changes in psychological well-being and sexuality 1 year after laparoscopic and abdominal hysterectomy. MATERIAL AND METHODS: Seventy-four women scheduled for abdominal hysterectomy due to benign disorders and assessed as not suitable for vaginal hysterectomy were randomized to abdominal hysterectomy (n = 38) or laparoscopic hysterectomy (n = 36). The Psychological General Well-Being (PGWB) Index was used to evaluate changes in psychological well-being and the McCoy scale was used to evaluate changes in sexuality. The differences in outcome before and 1 year after the hysterectomy were calculated for each individual and the changes were compared within and between the two patient groups. RESULTS: There were no significant differences between the two patient groups with respect to changes in psychological well-being and sexuality 1 year after surgery. CONCLUSIONS: This study implies that psychological well-being and sexuality after hysterectomy are not influenced by surgical technique.

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MeSH descriptors

Adaptation, Psychological Hysterectomy Laparoscopy Sexuality Female Humans Hysterectomy Hysterectomy Laparoscopy Laparoscopy Middle Aged Postoperative Period Surveys and Questionnaires Treatment Outcome

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