The Impact of Gynecological Surgeries on Female Sexual Quality of Life: A Prospective Cohort Study

Document Type : Original Article

Authors

1 lecturer,AZHAR UNIVERSITY HOSPITAL

2 Department of Obstetrics & Gynaecology, Faculty of Medicine, Al Azhar University for Girls, Cairo, Egypt

Abstract

Objective: To investigate the impact of benign gynecological surgeries on postoperative female sexual quality of life three months after the procedure.
Patients and Methods: The present study was a prospective study that included women who underwent gynecological surgeries for benign lesion such as hysterectomy, bilateral salpingo-oophorectomy (BSO), tubal ligation, anti-incontinence surgery, and pelvic organ prolapse reconstruction. All women were assessed using the sexual quality of life-female (SQOL-F) questionnaire.
Results: One hundred and eighty-eight women were included. The most commonly performed procedure was hysterectomy (25%), followed by classical repair (21%) and myomectomy (7%). In addition, 78.19% of the women were multipara. Preoperatively, the mean SQOL-F total score was 56.04 ± 17.947, which increase significantly to reach 79.33 ± 17.645 at the end of the third month postoperatively (p <0.001). This significant difference was consistent regardless of the type of procedure. Regarding the domains of SQOL-F, there were statistically significant increases in the psychosexual feelings (21.16 ± 8.2 versus 30.49 ± 7.8, p <0.001), sexual and relationship satisfaction (16.71 ± 7.9 versus 21.88 ± 4.5, p <0.001), self-worthlessness (9.69 ± 3.5 versus 13.74 ± 3.13, p <0.001) and sexual repression (8.468 ± 3.7 versus 13.20 ± 3.9, p <0.001).
Conclusion: In conclusion, most gynecological surgeries found to have positive impact on the female sexual function and quality of life. So that, sexual function should be taken into consideration in planning and preoperative counselling for gynecological surgery also post-operative follow-up.

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