腹腔鏡下子宮全摘術後の性機能について

抄録

Purpose: The objective of this study was to evaluate changes in sexual function due to total laparoscopic hysterectomy (TLH) based on questionnaire surveys of patients.

Methods: The subjects were 30 premenopausal patients who underwent TLH at our hospital, consented to this study, and returned the questionnaires. The Female Sexual Function Index (FSFI) was used to evaluate sexual function before and after surgery. We compared the FSFI total score before and after surgery and the changes in each domain of sexual desire, sexual arousal, vaginal lubrication, orgasm, sexual satisfaction, and sexual pain.

Results: Postoperatively, the FSFI total score increased in 6 cases (20%), remained unchanged in 2 cases (7%), and decreased in 22 cases (73%), showing an overall significant decrease after surgery. Sexual arousal, vaginal lubrication, orgasm, and sexual pain were significantly reduced postoperatively. Sexual desire and sexual satisfaction decreased, but not significantly.

Conclusion: The FSFI score decreased after total laparoscopic hysterectomy. Since the number of cases was small, it is necessary to accumulate more cases and conduct further studies in the future.