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

Keon Jin

doi:10.4069/kjwhn.2014.20.2.148

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

Original Article

Korean J Women Health Nurs 2014;20(2):148-154.

Published online: 17 June 2014

DOI: https://doi.org/10.4069/kjwhn.2014.20.2.148

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

Keon Jin

Department of Obstetrics and Gynecology, Dankook University College of Medicine, Cheonan, Korea

Corresponding author: Jin, Keon Department of Obstetrics and Gynecology, Dankook University College of Medicine, 119 Dandae-ro, Dongnam-gu, Cheonan 330-174, Korea. Tel: +82-41-550-3939, Fax: +82-41-556-3878, E-mail: keonjin@dankook.ac.kr

Received 28 February 201415 April 2014 Accepted 29 April 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

Thisstudy wasdoneto evaluate postoperative patient satisfaction, vaginalbleeding, andsexual function inwomenafter laparoscopicsupracervical hysterectomy(LSH).

Methods

A retrospectivestudywasconductedusing a questionnaire mailed to 131women who underwent LSH between 2008and 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 nonegativeinfluenceonquality of life. Of sexuallyactivewomen,82patients(90.1%) reportedimprovementsinsex-ual function, 8 patients (8.8%) reported "no change", and one patient (1.1%) reported a deterioration

Conclusion

Results of this studyindicate that LSH isassociatedwith ahigh degree ofpatient satisfaction, nonegativeinfluence onqualityof lifefromvaginal bleeding,andimprovementinsexualfunctiontoaminimum2yearsafter the procedure.

Keywords: Laparoscopic supracervical hysterectomy, Patient satisfaction, Vaginal bleeding, Sexual function

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Table 1.

Patient Characteristics (N=109)

Characteristics	n (%) or M±SD
Age (year)	41.28±1.43
Body Mass Index (kg/m²)	23.41±1.35
Parity	2.01±0.57
Prior gynecologic surgery
Yes	61 (56)
No	48 (44)

Table 2.

Overall Patient Satisfaction following Laparoscopic Supracervical Hysterectomy (N=109)

Patient satisfaction	n (%)
Very satisfied	99 (90.8)
Satisfied	8 (7.3)
Not satisfied	2 (1.8)

Table 3.

Postoperative Vaginal Bleeding following Laparoscopic Supracervical Hysterectomy (N=109)

Variables	Categories	n (%)
Vaginal bleeding	No	105 (96.3)
	Yes	4(3.7)
Menstrual patterns	Regular	4(100.0)
	Irregular	0(0.0)
Menstrual amount	Decreased	4(100.0)
	Same or increased	0(0.0)
Does menstrual bleeding cause negative influence on your quality of life?	No	4(100.0)
	Yes	0(0.0)

Table 4.

Postoperative Sexual Function following Laparoscopic Supracervical Hysterectomy (N=91)

Sexual function	n (%)
Improved	82 (90.1)
Not changed	8 (8.8)
Deteriorated	1 (1.1)

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