Histerektomi tekniklerinin cinsel fonksiyonlara, alt üriner sistem semptomları ve yaşam kalitesi üzerine etkisi var mıdır?

Amaç: Histerektomi, en yaygın jinekolojik cerrahi prosedürdür. Bu nedenle, histerektominin postoperatif etkileri hakkında ayrıntılı konsültasyon operasyonun ayrılmaz bir parçasıdır. Ancak, bu konularla ilgili mevcut veriler sınırlıdır ve çelişkilidir. Bu çalışmanın amacı, histerektomi tiplerinin alt üriner sistem semptomları (LUTS), cinsel fonksiyon ve yaşam kalitesi üzerine etkilerini değerlendirmektir. Yöntemler: Haziran 2017-2019 tarihleri arasında benign nedenlerle total laparoskopik (TLH), vajinal (VH) ve standart total abdominal histerektomi (TAH) operasyonuna ek olarak sakrouterin ligamanent-cuff sütürizasyonu yapılmış olan 38-60 yaş arasındaki hastalar bu kesitsel çalışmaya dahil edildi. Urge, urge inkontinansı, frequency, anormal boşalma, zor idrar yapma, noktüri, taşma, kesik kesik idrar yapma AÜSS semptomları olarak değerlendirildi. Sexüel fonksiyon Index of Female Sexual Function Indexi (FSFI) ve yaşam kalitesi European Quality of Life Five-Dimension Scale (EQ-5D) ölçeği ile postoperatif dönemde değerlendirildi. Bulgular: Preoperatif döneme göre postoperatif dönemde, VH (n=30) grubunda urgency, urge incontinence, frequency, anormal boşalma, noktüri ve kesik kesik idrar yapma semptomlarında (P

Anahtar Kelimeler:

Vajinal histerektomi, Abdominal histerektomi, Laparoskopik histerektomi, Cinsel işlev bozukluğu, Alt üriner sistem semptomları, Yaşam kalitesi

Do hysterectomy techniques affect sexual functions and lower urinary system complaints?

Aim: Hysterectomy is the most common gynecological surgical procedure. Therefore, detailed consultation about the postoperative effects of hysterectomy is an integral part of the operation. However, available data on these issues are limited and conflicting. The aim of this study is to evaluate the effects of hysterectomy types on lower urinary tract symptoms (LUTS), sexual function and quality of life. Methods: Patients between 38-60 years of age who underwent total laparoscopic hysterectomy (TLH), vaginal hysterectomy (VH), and, in addition to standard total abdominal hysterectomy (TAH), uterosacral ligament-cuff suturing operation between June 2017 and 2019 were included in this cross-sectional study. Urgency, urge incontinence, frequency, abnormal emptying, hesitancy, nocturia, overflow, and interrupted stream are considered LUTS symptoms. Sexual functions were evaluated by Index of Female Sexual Function Index (FSFI) and the quality of life was evaluated by the EQ-5D (European Quality of Life Five- Dimension Scale) during the post-operative period. Results: There was a significant decrease in urgency, urge incontinence, frequency, abnormal emptying, nocturia and interrupted stream symptoms (P

Keywords:

vaginal hysterectomy, abdominal hysterectomy, laparoscopic hysterectomy, sexual dysfunction, lower urinary tract symptoms, quality of life,

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