ABSTRACT

Objectives:

Hysterectomy is a major surgical procedure in gynecology and the postoperative effects of hysterectomy significantly alter women’s quality of life. The aim of this study is to investigate the effects of total abdominal hysterectomy (TAH) or total laparoscopic hysterectomy (TLH) for benign indications on sexual function changes in the climacteric period of women.

Conclusion:

In the climacteric period, TLH procedure in benign conditions improved the sexual functions of women compared to TAH method according to the FSFI scores.

Results:

The demographic characteristics of the patients were similar in both groups. In TLH group, a statistically significant increase was determined in the postoperative FSFI score of patients compared to their preoperative score (p<0.001). On the other hand, no significant difference was determined between postoperative and preoperative scores in the TAH group (p>0.05).

Materials and Methods:

A prospective study of 188 women with benign uterine conditions in the climacteric period operated with hysterectomy (134 in the TAH group and 54 in the TLH group) between 2018 and 2021 were performed. After hysterectomy, the sexual function changes in women were determined between TAH and TLH groups using the female sexual function index (FSFI).