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GYN: Hysterectomy Improves Sexual Well-Being?From: art fougner, md (evsono@pipeline.com)Fri Oct 3 07:16:01 2003
In tomorrow's British Medical Journal - BMJ 2003;327:774-778 (4 October) Hysterectomy and sexual wellbeing: prospective observational study of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy Jan-Paul W R Roovers, registrar1, Johanna G van der Bom, assistant professor of epidemiology2, C Huub van der Vaart, consultant1, A Peter M Heintz, professor of gynaecology1 1 Department of Obstetrics and Gynaecology, University Medical Center Utrecht, 3584 CX Utrecht, Netherlands, 2 Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Netherlands Correspondence to: J-P Roovers j_proovers@hotmail.com Objectives To compare the effects of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy on sexual wellbeing. Design Prospective observational study over six months. Setting 13 teaching and non-teaching hospitals in the Netherlands. Participants 413 women who underwent hysterectomy for benign disease other than symptomatic prolapse of the uterus and endometriosis. Main outcome measures Reported sexual pleasure, sexual activity, and bothersome sexual problems. Results Sexual pleasure significantly improved in all patients, independent of the type of hysterectomy. The prevalence of one or more bothersome sexual problems six months after vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy was 43% (38/89), 41% (31/76), and 39% (57/145), respectively (2 test, P 0.88). Conclusion Sexual pleasure improves after vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy. The persistence and development of bothersome problems during sexual activity were similar for all three techniques. http://bmj.bmjjournals.com/cgi/content/abstract/327/7418/774 art
-- art fougner, md ich bin ein New Yorker
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