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Sexual functioning after total compared with supracervical hysterectomy: a randomized trial.

Miriam Kuppermann·Robert L Summitt·R Edward Varner·S Gene McNeeley·Deborah Goodman-Gruen·Lee A Learman·Christine C Ireland·Eric Vittinghoff·Feng Lin·Holly E Richter·Jonathan Showstack·Stephen B Hulley·A Eugene Washington·Total or Supracervical Hysterectomy Research Group
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Abstract

OBJECTIVE: To compare sexual functioning and health-related quality-of-life outcomes of total abdominal hysterectomy (TAH) and supracervical hysterectomy (SCH) among women with symptomatic uterine leiomyomata or abnormal uterine bleeding refractory to hormonal management. METHODS: We randomly assigned 135 women scheduled to undergo abdominal hysterectomy in 4 U.S. clinical centers to either a total or supracervical procedure. The primary outcome was sexual functioning at 2 years, as assessed by the Medical Outcomes Study Sexual Problems Scale. Secondary outcomes included specific aspects of sexual functioning and health-related quality-of-life at 6 months and 2 years. RESULTS: Sexual problems improved dramatically in both randomized groups during the first 6 months and plateaued by 1 year. Health-related quality-of-life scores also improved in both groups. At 2 years, both groups reported few problems with sexual functioning (mean score on the Sexual Problems Scale for SCH group 82, TAH group 80, on a 0-to-100 scale with 100 indicating an absence of problems; difference = +2.95% confidence interval -8 to +11), and there were no significant differences between groups. CONCLUSION: Supracervical and total abdominal hysterectomy result in similar sexual functioning and health-related quality of life during 2 years of follow-up. This information can help guide physicians as they discuss surgical options with their patients.

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AdultFemaleHumansHysterectomyLeiomyomaQuality of LifeSexual BehaviorUterine HemorrhageUterine NeoplasmsClinical TrialComparative StudyJournal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralResearch Support, U.S. Gov't, P.H.S.

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Miriam Kuppermann, Robert L Summitt, R Edward Varner, S Gene McNeeley, Deborah Goodman-Gruen, Lee A Learman, Christine C Ireland, Eric Vittinghoff, Feng Lin, Holly E Richter, Jonathan Showstack, Stephen B Hulley, A Eugene Washington, Total or Supracervical Hysterectomy Research Group. 2005. Sexual functioning after total compared with supracervical hysterectomy: a randomized trial.. https://doi.org/10.1097/01.aog.0000160428.81371.be

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