A Systematic Review of Clinical Trials Assessing Sexuality in Hysterectomized Patients

Laura Martínez-Cayuelas, Pau Sarrió-Sanz, Antonio Palazón-Bru, Lidia Verdú-Verdú, Ana López-López, Vicente Francisco Gil-Guillén, Jesús Romero-Maroto and Luis Gómez-Pérez
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Laura Martínez-Cayuelas: Urology Services, University Hospital of Vinalopó, 03293 Elche, Alicante, Spain
Pau Sarrió-Sanz: Urology Services, University Hospital of San Juan de Alicante, 03550 San Juan de Alicante, Alicante, Spain
Antonio Palazón-Bru: Department of Clinical Medicine, Miguel Hernández University, 03550 San Juan de Alicante, Alicante, Spain
Lidia Verdú-Verdú: Urology Services, Hospital of Marina Baixa, 03570 Villajoyosa, Alicante, Spain
Ana López-López: Urology Services, University Hospital of San Juan de Alicante, 03550 San Juan de Alicante, Alicante, Spain
Vicente Francisco Gil-Guillén: Department of Clinical Medicine, Miguel Hernández University, 03550 San Juan de Alicante, Alicante, Spain
Jesús Romero-Maroto: Urology Services, University Hospital of San Juan de Alicante, 03550 San Juan de Alicante, Alicante, Spain
Luis Gómez-Pérez: Urology Services, University Hospital of San Juan de Alicante, 03550 San Juan de Alicante, Alicante, Spain

IJERPH, 2021, vol. 18, issue 8, 1-10

Abstract: In hysterectomized patients, even though there is still controversy, evidence indicates that in the short term, the vaginal approach shows benefits over the laparoscopic approach, as it is less invasive, faster and less costly. However, the quality of sexual life has not been systematically reviewed in terms of the approach adopted. Through a systematic review, we analyzed (CRD42020158465 in PROSPERO) the impact of hysterectomy on sexual quality and whether there are differences according to the surgical procedure (abdominal or vaginal) for noncancer patients. MEDLINE (through PubMed), Embase, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov and Scopus were reviewed to find randomized clinical trials assessing sexuality in noncancer patients undergoing total hysterectomy, comparing vaginal and abdominal (laparoscopic and/or open) surgery. Three studies that assessed the issue under study were finally included. Two of these had a low risk of bias (Cochrane risk of bias tool); one was unclear. There was significant variability in how sexuality was measured, with no differences between the two approaches considered in the review. In conclusion, no evidence was found to support one procedure (abdominal or vaginal) over another for non-oncological hysterectomized patients regarding benefits in terms of sexuality.

Keywords: hysterectomy; sexuality; abdominal; vaginal (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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