Korean J Women Health Nurs.  2014 Jun;20(2):148-154. 10.4069/kjwhn.2014.20.2.148.

Patient Satisfaction, Vaginal Bleeding, Sexual Function following Laparoscopic Supracervical Hysterectomy

• Jin K

• KMID: 1991909
• DOI: http://doi.org/10.4069/kjwhn.2014.20.2.148

Abstract

PURPOSE
This study was done to evaluate postoperative patient satisfaction, vaginal bleeding, and sexual function in women after laparoscopic supracervical hysterectomy (LSH).
METHODS
A retrospective study was conducted using a questionnaire mailed to 131 women who underwent LSH between 2008 and 2011at the Department of Obstetrics &Gynecology, D University Hospital in Chungnam province. Indication for LSH was uterine myoma. The questionnaire contained questions on overall postoperative satisfaction, influence on quality of life of vaginal bleeding, and sexual satisfaction following surgery. Data were collected from March to July 2013 and 109 (83.2%) patients returned the questionnaire.
RESULTS
Most women reported being very satisfied (90.8%) or satisfied (7.3%), but 2 women (1.8%) were not satisfied with LSH. Four patients (3.4%) reported experiencing vaginal bleeding but with no negative influence on quality of life. Of sexually active women, 82 patients (90.1%) reported improvements in sexual function, 8 patients (8.8%) reported "no change", and one patient (1.1%) reported a deterioration.
CONCLUSION
Results of this study indicate that LSH is associated with a high degree of patient satisfaction, no negative influence on quality of life from vaginal bleeding, and improvement in sexual function to a minimum 2 years after the procedure.

Keyword

Laparoscopic supracervical hysterectomy; Patient satisfaction; Vaginal bleeding; Sexual function

MeSH Terms

Chungcheongnam-do
Female
Humans
Hysterectomy*
Leiomyoma
Obstetrics
Patient Satisfaction*
Postal Service
Quality of Life
Questionnaires
Retrospective Studies
Uterine Hemorrhage*

Reference

1. Reich H. New techniques in advanced laparoscopic surgery. Bailliere's Clinical Obstetrics and Gynaecology. 1989; 3(3):655–681.

2. Johnson N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R. Surgical approach to hysterectomy for benign gynaecological disease. The Cochrane Database of Systematic Reviews. 2006; 19(2):CD003677.

3. Lyons T. Laparoscopic supracervical versus total hysterectomy. Journal of Minimally Invasive Gynecology. 2007; 14(3):275–277. .　.

4. Donnez J, Nisolle M, Smets M, Polet R, Bassil S. Laparoscopic supracervical (subtotal) hysterectomy: A first series of 500 cases. Gynaecological Endoscopy. 1997; 6(2):73–76.

5. Lieng M, Qvigstad E, Istre O, Langebrekke A, Ballard K. Longterm outcomes following Laparoscopic supracervical hysterectomy. British Journal of Obstetrics and Gynaecology. 2008; 115(13):1605–1610.

6. Hasson HM. Cervical removal at hysterectomy for benign disease. Risks and benefits. The Journal of Reproductive Medicine. 1993; 38(10):781–790.

7. Lethaby A, Ivanova V, Johnson NP. Total versus subtotal hysterectomy for benign gynecological conditions. The Cochrane Database of Systematic Reviews. 2006; 19(2):CD004993.

8. Hilger WS, Pizzaro AR, Magrina JF. Removal of the retained cervical stump. American Journal of Obstetrics and Gynecology. 2005; 193(6):2117–2121.

9. Zupi E, Zullo F, Marconi D, Sbracia M, Pellicano M, Solima E, et al. Hysteroscopic endometrial resection versus laparoscopic supracervical hysterectomy for menorrhagia: A prospective randomized trial., American Journal of Obstetrics and Gynecology. 2003; 188(1):7–12.

10. Okaro EO, Jones KD, Sutton C. Long term outcome following laparoscopic supracervical hysterectomy. British Journal of Obstetrics and Gynaecology. 2001; 108(10):1017–1020.

11. Scott JR, Sharp HT, Dodson MK, Norton PA, Warner HR. Subtotal hysterectomy in modern gynecology: A decision analysis. American Journal of Obstetrics and Gynecology. 1997; 176(6):1186–1191.

12. Avery KN, Metcalfe C, Nicklin J, Barham CP, Alderson D, Donovan JL, et al. Satisfaction with care: An independent outcome measure in surgical oncology. Annals of Surgical Oncology. 2006; 13(6):817–822.

13. Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Social Science & Medicine. 2001; 52(4):609–620.

14. Tomlinson JS, Ko CY. Patient satisfaction: An increasingly important measure of quality. Annals of Surgical Oncology. 2006; 13(6):764–765.

15. van der Stege JG, van Beek JJ. Problems related to the cervical stump at followup in laparoscopic supracervical hysterectomy. Journal of the Society of Laparoendoscopic Surgeons. 1999; 3(1):5–7.

16. Tchartchian G, Gardanis K, Bojahr B, de Wilde RL. Postoperative patient satisfaction after laparoscopic supracervical hysterectomy. Journal of the Society of Laparoendoscopic Surgeons. 2013; 17(1):107–110.

17. Learman LA, Summitt RL Jr, Varner RE, McNeeley SG, Goodman-Gruen D, Richter HE, et al. A randomized comparison of total or supracervical hysterectomy: Surgical complications and clinical outcomes. Obstetrics and Gynecology. 2003; 102(3):453–462.

18. Lyons TL. Laparoscopic supracervical hysterectomy. Bailliere's Clinical Obstetrics and Gynaecology. 1997; 11(1):167–179.

19. Falcone T, Walters MD. Hysterectomy for benign disease. Obstetrics and Gynecology. 2008; 111(3):753–767.

20. Mokate T, Wright C, Mander T. Hysterectomy and sexual function. The Journal of the British Menopause Society. 2006; 12(4):153–157.

21. Katz A. Sexuality after hysterectomy: A review of the literature and discussion of nurses’ role. Journal of Advanced Nursing. 2003; 42(3):297–303.

22. Flory N, Bissonnette F, Amsel RT, Binik YM. The psychosocial outcomes of total and subtotal hysterectomy: A randomized controlled trial. The Journal of Sexual Medicine. 2006; 3(3):483–491.

23. Kuppermann M, Summitt RL Jr, Varner RE, McNeeley SG, Goodman-Gruen D, Learman LA, et al. Sexual functioning after total compared with supracervical hysterectomy: A randomized trial. Obstetrics and Gynecology. 2005; 105(6):1309–1318.

24. Thakar R, Ayers S, Clarkson P, Stanton S, Manyonda I. Outcomes after total versus subtotal abdominal hysterectomy. The New England Journal of Medicine. 2002; 347(17):1318–1325.

25. Maas CP, Weijenborg PT, terKuile MM. The effect of hysterectomy on sexual functioning. Annual Review of Sex Research. 2003; 14:83–113.

26. Bradford A, Meston C. Sexual outcomes and satisfaction with hysterectomy: Influence of patient education. The Journal of Sexual Medicine. 2007; 4(1):106–114.

27. Peterson ZD, Rothenberg JM, Bilbrey S, Heiman JR. Sexual functioning following elective hysterectomy: The role of surgical and psychosocial variables. Journal of Sex Research. 2010; 47(6):513–527.

28. De Gelder R, Richters A, Peters L. The integration of a wom-an's perspective in hysterectomy decisions. Journal of Psychosomatic Obstetrics and Gynaecology. 2005; 26(1):53–62.

29. Farquhar CM, Steiner CA. Hysterectomy rates in the United States 1990-1997. Obstetrics and Gynecology. 2002; 99(2):229–234.