Geburtshilfe Frauenheilkd 2014; 74 - PO_Gyn_Uro03_12
DOI: 10.1055/s-0034-1388289

Influence of laparoscopic myomectomy on patients' postoperative sexual function and quality of life

J Radosa 1, MP Radosa 2, C Kastl 3, S Baum 3, R Joukhadar 3, A Hamza 3, I Juhasz-Böss 3, EF Solomayer 3
  • 1Universität des Saarlandes, Frauenklinik, Homburg Saar, Germany
  • 2Universitätsfauenklinik, Jena, Germany
  • 3Universitätsklinikum des Saarland, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Germany

Introduction: Myomectomy ranks among the most frequently performed gynecological surgical procedures. At the time of operation, the majority of patients are premenopausal and sexually active. Hence detailed counseling about the effects of hysterectomy on postoperative sexuality and quality of life can be regarded as an integral part in the preoperative counseling. However, available data on these subjects are limited and contradictory.

Material and methods: All premenopausal women who underwent laparoscopic myomectomy between Januar 2011 and June 2013 at the department of Gynecology and Obstetrics/Saarland University Hospital were enrolled in this observational cohort study. Sexuality and quality of life were assessed for the pre- and postoperative (six month postoperatively) status using two standardized validated questionnaires the FSFI a multidimensional, self-reported instrument for the assessment of female sexual function and the EQ-5D a standardized, validated instrument to measure an individual's health status.

Results: Of 170 eligible patients, 94 completed the study. Postoperative FSFI and EQ-5D scores were significantly higher (p ≤0.01) than preoperative scores.

Conclusions: In this cohort of premenopausal women, laparoscopic myomectomy had significant positive effects on postoperative sexual function and quality of life.