Geburtshilfe Frauenheilkd 2014; 74 - FV_06_01
DOI: 10.1055/s-0034-1388581

Patient-reported quality-of-life and sexual-function outcomes after laparoscopic supracervical hysterectomy (LSH) versus total laparoscopic hysterectomy (TLH): a prospective, questionnaire-based follow-up study in 915 patients

FA Taran 1, A Hartkopf 1, S Bogdanyova 2, S Ebersoll 1, C Wallwiener 1, A Kasperkowiak 1, SY Brucker 1, M Wallwiener 3
  • 1Univ.-Frauenklinik, Tübingen, Germany
  • 2Frauenklinik, Heppenheim, Germany
  • 3Univ.-Frauenklinik, Heidelberg, Germany

Purpose: To compare patient-reported quality-of-life and sexual-function outcomes in women after laparoscopic supracervical hysterectomy (LSH) or total laparoscopic hysterectomy (TLH) for benign uterine disease.

Methods: In total, 915 respondent patients were included in this prospective, questionnaire-based follow-up study.

Results: Of the 915 survey respondents, 788 (86.1%) and 127 (13.9%) had undergone LSH or TLH, respectively. Women undergoing LSH reported significantly lower pain (p= 0.037) and faster partial (p = 0.015) and faster complete (p < 0.001) resumption of normal activities compared to those undergoing TLH. As regards sexual function, women undergoing LSH resumed sexual activity significantly sooner (p = 0.018), rated sexual desire as greater in magnitude (p = 0.023), and reported more frequently that their sexual life had improved postoperatively (p = 0.008) than did women undergoing TLH.

Conclusions: Women undergoing LSH for benign uterine disease may have better outcomes regarding certain quality-of-life and sexual-function parameters than women undergoing TLH for benign uterine disease.