Sexual Function following Laparoscopic versus Transvaginal Closure of the Vaginal Vault after Laparoscopic Hysterectomy: Secondary Analysis of a Randomized Trial by the Italian Society of Gynecological Endoscopy Using a Validated Questionnaire.

Abstract:

STUDY OBJECTIVE:The effect of the different types of vaginal cuff closures on posthysterectomy sexual function has not been investigated in depth. We evaluated if there is a difference between transvaginal versus a laparoscopic closure after total laparoscopic hysterectomy (TLH) on female sexual function, using a validated questionnaire. DESIGN:Secondary analysis of a prospective randomized controlled trial. SETTING:Three academic research centers. PATIENTS:Women consenting to telephone interviews on their sexual life before and after undergoing TLH were included. INTERVENTIONS:Patients were randomly assigned to a laparoscopic or transvaginal approach for vaginal cuff closure at the end of TLH for benign indications. MEASUREMENTS AND MAIN RESULTS:A validated questionnaire (the Female Sexual Function Index [FSFI]) was used to explore sexuality before and after the operation. Of the 1408 patients enrolled in the primary study, 400 patients were asked to complete the questionnaire. Of them, 182 (41.4%) were eligible and accepted enrollment in the present analysis. No difference was found in terms of pre- and postoperative FSFI scores between groups. Patients with a low preoperative FSFI score (<26.55) had a significantly higher likelihood of having a postoperative sexual disorder (p <.001). Women who received bilateral adnexectomy before menopause and those with postoperative vaginal cuff hematoma had a significantly lower postoperative FSFI score (p = .001 and p = .04, respectively). After multivariable analysis, both variables maintained at least a tendency toward an association with a lower postoperative FSFI score (odds ratio, 2.696; 95% confidence interval, 1.010-7.194; p = 0.048 and p = 0.053; odds ratio, 13.2; 95% confidence interval, .966-180.5, respectively). CONCLUSION:Transvaginal and laparoscopic cuff closures after TLH have similar sexual postoperative outcomes. A patient with sexual problems before TLH is more likely to have a low FSFI score postoperatively. Premenopausal patients undergoing bilateral ovariectomy and those with postoperative vaginal cuff hematoma have a worse postoperative sexual life. (Clinicaltrials.gov, protocol number NCT02453165, registration date May 25, 2015.).

authors

Uccella S,Capozzi VA,Ricco' M,Perrone E,Zanello M,Ferrari S,Zorzato PC,Seracchioli R,Cromi A,Serati M,Ergasti R,Fanfani F,Berretta R,Malzoni M,Cianci S,Vizza E,Guido M,Legge F,Ciravolo G,Gueli Alletti S,Ghezzi F,

doi

10.1016/j.jmig.2019.03.018

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

186-194

issue

1

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(19)30143-8

journal_volume

27

pub_type

杂志文章,多中心研究,随机对照试验
  • Hysteroscopy in pregnancy-related conditions: descriptive analysis in 273 patients.

    abstract:STUDY OBJECTIVE:To describe the feasibility of office hysteroscopy in patients with pregnancy-related problems such as retained trophoblastic tissue, persistent molar tissue, pregnancy with in situ intrauterine device (IUD), isthmocele, embryoscopy, and osseous metaplasia. DESIGN:Retrospective cohort chart review of u...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2013.11.004

    authors: Pérez-Medina T,Sancho-Saúco J,Ríos M,Pereira A,Argila N,Cabezas E,Cayuela E

    更新日期:2014-05-01 00:00:00

  • Three-dimensional model for gas flow, resistance, and leakage-dependent nominal pressure maintenance of different laparoscopic insufflators.

    abstract:STUDY OBJECTIVE:To compare laparoscopic insufflators with different insufflation characteristics and evaluate the effects of resistance and leakage on maintenance of nominal pressure. DESIGN:Prospective study (Canadian Task Force classification II-2). SETTING:Laboratory of university clinic. INTERVENTIONS:Measuremen...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2005.10.007

    authors: Jacobs VR,Morrison JE Jr,Paepke S,Fischer T,Kiechle M

    更新日期:2006-05-01 00:00:00

  • Minimally Invasive Adnexal Mass Extraction: Considerations and Techniques (With Videos).

    abstract::Adnexal masses are a common indication for surgery in the United States. This article reviews the clinical features that may suggest an underlying malignancy, including ultrasound and biomarkers. The decision regarding how to remove an adnexal mass involves consideration of several factors, including body habitus, int...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2016.11.010

    authors: Walsh TM,McMillin MG,Kho KA

    更新日期:2017-02-01 00:00:00

  • Robotic Hysterectomy in Severely Obese Patients With Endometrial Cancer: A Multicenter Study.

    abstract:STUDY OBJECTIVE:The aim of this study was to evaluate the surgical and oncologic outcomes of robotic hysterectomy with or without or less pelvic and aortic lymphadenectomy in severely obese patients (body mass index [BMI] ≥ 40 kg/m(2)) with endometrial cancer. MATERIAL AND METHODS:Between August 2010 and November 2014...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jmig.2015.08.887

    authors: Corrado G,Chiantera V,Fanfani F,Cutillo G,Lucidi A,Mancini E,Pedone Anchora L,Scambia G,Vizza E

    更新日期:2016-01-01 00:00:00

  • Clinical observation of a modified surgical method: posterior vaginal mesh suspension of female rectocele with intractable constipation.

    abstract:STUDY OBJECTIVE:To explore the feasibility and effectiveness of a modified posterior vaginal mesh suspension method in treating female rectocele with intractable constipation. DESIGN:Descriptive study (Canadian Task Force classification II-3). SETTING:The study was performed in the Study Center for Female Pelvic Dysf...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2012.06.004

    authors: Hong L,Li HF,Sun J,Zhu JL,Ai GH,Li L,Zhang B,Chi FL,Tong XW

    更新日期:2012-11-01 00:00:00

  • Contrast-tuned imaging and second-generation contrast agent SonoVue: a new ultrasound approach to evaluation of tubal patency.

    abstract:STUDY OBJECTIVE:To determine whether transvaginal hysterosalpingo-contrast sonography (HyCoSy) with a new dedicated contrast-enhanced ultrasound technique, can contribute to accurate diagnosis of tubal occlusion. DESIGN:Prospective observational study (Canadian Task Force classification II-2). SETTING:University hosp...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jmig.2009.03.019

    authors: Exacoustos C,Zupi E,Szabolcs B,Amoroso C,Di Giovanni A,Romanini ME,Arduini D

    更新日期:2009-07-01 00:00:00

  • Short-acting and Long-acting Opioids Utilization among Women Diagnosed with Endometriosis in the United States: A Population-based Claims Study.

    abstract:STUDY OBJECTIVE:To determine the prevalence and pattern of opioid use in endometriosis and the characteristics of patients prescribed an opioid using medical insurance claims data. DESIGN:We performed a retrospective cohort analysis of data from the Truven MarketScan Commercial database for the period of January 1, 20...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2020.05.029

    authors: As-Sanie S,Soliman AM,Evans K,Erpelding N,Lanier RK,Katz NP

    更新日期:2020-06-09 00:00:00

  • Laparoscopic ureteroneocystostomy with psoas hitch.

    abstract:BACKGROUND AND PURPOSE:Laparoscopic extravesical ureteroneocystostomy is an infrequently described technique. Our aim is to describe five cases where we used the intracorporeal freehand suturing technique successfully for performing laparoscopic extravesical transperitoneal ureteral reimplantation with psoas hitch. We ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2006.03.016

    authors: Puntambekar S,Palep RJ,Gurjar AM,Sathe RM,Talaulikar AG,Agarwal GA,Kashyap M

    更新日期:2006-07-01 00:00:00

  • Termino-terminal Ureteral Laparoscopic Anastomosis in a Case of Deep Infiltrating Endometriosis.

    abstract:STUDY OBJECTIVE:Laparoscopic termino-terminal ureteral anastomosis has all the advantages of a minimally invasive approach in addition to the treatment of the pathologic condition [1]. Ureteral deep endometriosis can lead to severe consequences, such as hydroureteronephrosis and renal failure [2,3]. The main objective ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.11.017

    authors: Avilés R,Bustos B,Chauvet P,François M,Canis M,Bourdel N

    更新日期:2020-01-01 00:00:00

  • Impact of isthmocele on assisted reproductive treatment outcomes: an age-matched retrospective study.

    abstract:STUDY OBJECTIVE:To evaluate whether the presence of an ultrasonographic visible isthmocele has an impact on the chance of pregnancy in women undergoing embryo transfer. DESIGN:An age-matched retrospective study SETTING: Private assisted reproductive center PATIENTS: The study included a total of 150 patients with a pr...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2020.10.002

    authors: Asoglu MR,Celik C,Ozturk E,Cavkaytar S,Bahceci M

    更新日期:2020-10-07 00:00:00

  • Endometrial ablation devices: review of a manufacturer and user facility device experience database.

    abstract::Our objective was to evaluate complications reported to the Manufacturer and User Facility Device Experience (MAUDE) database and to look for trends of complications among various endometrial ablation devices. This database was not intended to be used either to evaluate rates of adverse events or to compare adverse ev...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2007.05.008

    authors: Della Badia C,Nyirjesy P,Atogho A

    更新日期:2007-07-01 00:00:00

  • Impact of Surgical Route in Influencing the Risk of Lymphatic Complications After Ovarian Cancer Staging.

    abstract::Lymphatic complications are a common occurrence after staging surgery for early-stage ovarian cancer (eEOC). We investigated whether the introduction of minimally invasive surgery influences the risk of developing lymphoceles and lymphorrhea in patients undergoing staging for eEOC. For this purpose, data of consecutiv...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.jmig.2017.03.014

    authors: Bogani G,Borghi C,Ditto A,Signorelli M,Martinelli F,Chiappa V,Scaffa C,Perotto S,Leone Roberti Maggiore U,Montanelli L,Di Donato V,Infantino C,Lorusso D,Raspagliesi F

    更新日期:2017-01-01 00:00:00

  • Laparoscopic vessel sealing technologies.

    abstract::Laparoscopic vessel sealing devices have revolutionized modern laparoscopy. These devices fall into 2 major categories: advanced bipolar and ultrasonic instruments. The range of tissue effects available with these technologies is more limited than with conventional monopolar electrosurgery; however, both advanced bipo...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2013.02.012

    authors: Lyons SD,Law KS

    更新日期:2013-05-01 00:00:00

  • A phase III randomized clinical trial comparing laparoscopic or robotic radical hysterectomy with abdominal radical hysterectomy in patients with early stage cervical cancer.

    abstract:STUDY OBJECTIVE:Cervical cancer is a significant health problem in countries of the developing world. Although case series suggest advantages of total laparoscopic radical hysterectomy (TLRH) compared with total abdominal radical hysterectomy (TARH), no randomized controlled trial is currently available to establish TL...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jmig.2008.06.013

    authors: Obermair A,Gebski V,Frumovitz M,Soliman PT,Schmeler KM,Levenback C,Ramirez PT

    更新日期:2008-09-01 00:00:00

  • Core Privileging and Credentialing: Hospitals' Approach to Gynecologic Surgery.

    abstract:STUDY OBJECTIVE:Privileging and credentialing requirements are determined by medical staff leadership at the hospital level to ensure clinicians provide safe healthcare services. No standardized guidelines exist for gynecologic surgery. The objective of this study is to examine the variability of the criteria used to g...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jmig.2016.08.001

    authors: Siddique M,Shah N,Park A,Chen B,Emery S,Falcone T,Margulies R,Rardin C,Iglesia C

    更新日期:2016-01-01 00:00:00

  • Robotic surgery: changing the surgical approach for endometrial cancer in a referral cancer center.

    abstract:STUDY OBJECTIVE:To study the effect of robotic surgery on the surgical approach to endometrial cancer in a gynecologic oncology center over a short time. DESIGN:Prospective analysis of patients with early-stage endometrial cancer who underwent robotic surgery. SETTING:Teaching hospital. PATIENTS:Eighty patients who ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2009.03.013

    authors: Peiretti M,Zanagnolo V,Bocciolone L,Landoni F,Colombo N,Minig L,Sanguineti F,Maggioni A

    更新日期:2009-07-01 00:00:00

  • Laparoscopic resection of presacral teratomas.

    abstract::Presacral and retrorectal space tumors are relatively rare lesions, the location of which can result in the onset of symptoms that are not well-defined. Retrorectal teratomas are resected to alleviate these symptoms and to rule out malignancy. Complete resection by one of the open abdominal or sacral approaches was tr...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2008.06.011

    authors: Chen Y,Xu H,Li Y,Li J,Wang D,Yuan J,Liang Z

    更新日期:2008-09-01 00:00:00

  • Transvaginal Natural Orifice Transluminal Endoscopic Surgery as a Rescue for Total Vaginal Hysterectomy.

    abstract:BACKGROUND:Transvaginal surgery is the most minimally invasive surgery for a gynecologic procedure but can be challenging for many to perform as evidenced by its declining rate. Vaginal removal of the adnexal structures can be difficult because of poor visualization. Factors such as abnormal pathology, incidental findi...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2018.01.028

    authors: Guan X,Bardawil E,Liu J,Kho R

    更新日期:2018-01-01 00:00:00

  • Surgeon volume and outcomes in benign hysterectomy.

    abstract::Annual surgeon case volume has been linked to patient outcome in a variety of surgical fields, although limited data focus on gynecologic surgery performed by general gynecologists. Herein we review the literature addressing the associations between intraoperative injury, postoperative morbidity, and resource use amon...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2013.03.005

    authors: Doll KM,Milad MP,Gossett DR

    更新日期:2013-09-01 00:00:00

  • Surgical outcome of extraperitoneal paraaortic lymph node dissections compared with transperitoneal approach in gynecologic cancer patients.

    abstract:STUDY OBJECTIVE:To evaluate the surgical outcome of extraperitoneal paraaortic lymph node dissection compared with the traditional transperitoneal approach. DESIGN:Retrospective review (Canadian Task Force classification III). SETTING:University hospital. PATIENTS:Women with gynecologic malignancies admitted to our ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2013.03.009

    authors: Morales S,Zapardiel I,Grabowski JP,Hernandez A,Diestro MD,Gonzalez-Benitez C,De Santiago J

    更新日期:2013-09-01 00:00:00

  • Early results of magnetic resonance-guided focused ultrasound surgery of adenomyosis: analysis of 20 cases.

    abstract:STUDY OBJECTIVE:To evaluate the thermal ablative effects of magnetic resonance-(MR) guided focused ultrasound surgery (MRgFUS) on adenomyosis and to assess improvement in clinical parameters. DESIGN:Twenty patients with adenomyosis were treated with MRgFUS. Extensive adenomyosis (6 cases) was treated with 2 applicatio...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2008.06.010

    authors: Fukunishi H,Funaki K,Sawada K,Yamaguchi K,Maeda T,Kaji Y

    更新日期:2008-09-01 00:00:00

  • Safety of Synthetic Glue Used for Laparoscopic Prolapse Treatment.

    abstract:STUDY OBJECTIVE:We detected mesh erosion and serious postoperative complications in 3 women after performing laparoscopic promontofixation (LPF) using glue for mesh fixation. Glue, largely used in hernia surgery repair, is proposed by some gynecologic surgeons because it saves time and is easier to use than traditional...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2017.12.022

    authors: Sarasa Castelló N,Toth A,Canis M,Botchorishvilli R

    更新日期:2018-01-01 00:00:00

  • Hysteroscopic resection in the management of early-stage endometrial cancer: report of 2 cases and review of the literature.

    abstract::Although endometrial cancer, the most common gynecologic malignancy, is most often diagnosed in postmenopausal women, it affects young women who wish to preserve fertility. The purpose of this article is to describe 2 cases of stage IA endometrial cancer managed conservatively by a combination of hysteroscopic surgery...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2014.08.782

    authors: Arendas K,Aldossary M,Cipolla A,Leader A,Leyland NA

    更新日期:2015-01-01 00:00:00

  • Use of Historic Surgical Times to Predict Duration of Hysterectomy: Stratifying by Uterine Weight.

    abstract:STUDY OBJECTIVE:To describe the accuracy of historic averages for estimating operating room (OR) time for hysterectomy among women with small and large uteri. DESIGN:A retrospective cohort study. SETTING:Data from women who underwent abdominal, vaginal, or laparoscopic hysterectomy between 2015 and 2017 at the Univer...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.01.003

    authors: Cassling C,Shay R,Strassle PD,Voltzke K,Schiff L,Louie M,Carey E

    更新日期:2019-01-01 00:00:00

  • A novel modification of traditional 2-port laparoscopic surgery using a 5-mm flexible scope.

    abstract::In embryonic natural orifice transumbilical endoscopic surgery, more than 1 port is inserted through the umbilicus. In the present study, embryonic natural orifice transumbilical endoscopic surgery combined with a flexible scope was used to further improve gynecologic surgery. A surgical incision was made in the umbil...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2009.07.006

    authors: Kikuchi I,Kumakiri J,Kuroda K,Matsuoka S,Kitade M,Takeda S

    更新日期:2009-11-01 00:00:00

  • Iatrogenic ureteric injury with Filschie clipping during laparoscopic sterilization.

    abstract::The most common mode of injury to the ureter is iatrogenic; however, injury during laparoscopic sterilization is rare. Although thermal ureteric injury during laparoscopic sterilization has been reported, to our knowledge, this is the first published report of ureteric injury caused by placement of a Filschie clip dur...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2009.01.011

    authors: Forster JA,Akram MM,Rogawski KM

    更新日期:2009-05-01 00:00:00

  • Intramural ectopic pregnancy: treatment using uterine artery embolization.

    abstract::Herein is described the case of a 28-year-old woman in whom uterine artery embolization (UAE) was performed to treat intramural ectopic pregnancy. The intramural ectopic pregnancy was diagnosed at magnetic resonance imaging, which showed a gestational sac surrounded completely by myometrium. The UAE procedure was unco...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2012.10.005

    authors: Wang S,Dong Y,Meng X

    更新日期:2013-03-01 00:00:00

  • Laparoscopic Management of Heterotopic Istmocornual Pregnancy: A Different Technique.

    abstract:STUDY OBJECTIVE:To present a modified technique for laparoscopic cornual resection for the surgical treatment of heterotopic istmocornual pregnancy. DESIGN:A step-by-step explanation of the surgery using video (Canadian Task Force Classification III-c). SETTING:Heterotopic pregnancy is the coexistence of pregnancy in...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2016.07.008

    authors: Peker N,Aydeniz EG,Gündoğan S,Şendağ F

    更新日期:2017-01-01 00:00:00

  • Splenic rupture after laparoscopic surgery: a case report.

    abstract::Splenic rupture is a rare and severe complication of laparoscopic surgery. We report a case of delayed splenic rupture as a severe complication of laparoscopy, occurring 5 days after surgery performed on a 52-year-old woman with history of abdominal surgery and with acute pelvic infection. Subcapsular hematoma, result...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2007.08.615

    authors: Huchon C,Estrade S,Montariol T,Stirnemann J,Bader G,Fauconnier A

    更新日期:2008-01-01 00:00:00

  • Needleoscopic Conservative Staging of Borderline Ovarian Tumor.

    abstract:STUDY OBJECTIVE:To investigate the safety and technical feasibility of needleoscopic fertility-sparing staging of borderline ovarian tumors. DESIGN:Video article and review of the literature (Canadian Task Force classification Level III). SETTING:This 29-year-old woman had a right ovarian cyst suspicious for borderli...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2016.10.009

    authors: Gueli Alletti S,Rossitto C,Perrone E,Cianci S,De Blasis I,Fagotti A,Scambia G

    更新日期:2017-01-01 00:00:00