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      Función sexual en pacientes histerectomizadas

      case-report

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          Abstract

          Objetivo: Identificar las modificaciones en la función sexual relacionadas con la histerectomía en un grupo de pacientes intervenidas en la Maternidad “Concepción Palacios”. Métodos: Diseño prospectivo, longitudinal y descriptivo. Se aplicó a 100 pacientes índice de función sexual femenina, antes de la intervención, 3 y 6 meses después. Se evaluó deseo, excitación, lubricación, orgasmo, satisfacción y dolor. Los datos se distribuyeron según la frecuencia absoluta y relativa, comparados por diferencias de proporciones y/o Chi cuadrado (P<0,05). Resultados: A los 3 meses 32 % de las pacientes no habían iniciado actividad sexual, esto volvió a la situación basal a los 6 meses. La frecuencia de actividad sexual aumentó de 43 % a 73 % al sexto mes. El dolor y su intensidad se redujeron significativamente. Ninguna de las fases de la función sexual se vio afectada a los 6 meses de seguimiento. La técnica quirúrgica y las complicaciones no tuvieron influencia sobre la sexualidad. Conclusiones: La histerectomía no genera cambios en la función sexual, cuando existen generalmente son positivos. Estos son independientes de la técnica quirúrgica y de las complicaciones.

          Translated abstract

          Objective: To identify changes in sexual function related to hysterectomy in a group of patients treated in the Maternidad “Concepcion Palacios”. Methods: Design prospective, longitudinal and descriptive. Applied to 100 patients female Sexual Function Index, before the intervention, 3 and 6 months later. Desire, arousal, lubrication, orgasm, satisfaction and pain was evaluated. Data were distributed according to the frequency, absolute and relative, compared by differences of proportions or Chi square (P < 0.05). Results: At 3 months 32 % of patients had not initiated sexual activity, this returned to baseline at 6 months. The frequency of sexual activity increased from 43 % to 73 % in the sixth month. Pain and its intensity is significantly reduced. None of the stages of sexual function was affected at 6 months of follow-up. The surgical technique and complications had no influence on sexuality. Conclusions: Hysterectomy does not generate changes in sexual function, when there usually are positive. These are independent of the surgical technique and complications.

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          Most cited references23

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          Alteration of sexual function after classic intrafascial supracervical hysterectomy and total hysterectomy.

          To investigate possible advantages of classic intrafascial supracervical hysterectomy (CISH) over total hysterectomy with respect to sexual function. Retrospective study (Canadian Task Force classification II-2). Department of obstetrics and gynecology at a university teaching hospital. One hundred eight women who had undergone CISH and 125 who had total hysterectomy. A standard questionnaire sent to all 233 patients a minimum of 12 and maximum of 24 months after hysterectomy. Data obtained on sexual function were classified by changes (improved, no change, deteriorated) before and after hysterectomy. No significant difference was found between groups in mean time interval between surgery and first intercourse. Overall, over two-thirds of women experienced either no change or improvement in sexual function regardless of which procedure was performed, with no statistically significant differences in changes in libido, frequency of coitus, frequency of orgasm, and degree of orgasm. Women who underwent CISH and total hysterectomy had no statistically significant differences with regard to postoperative sexual function.
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            Trastornos del deseo sexual

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              Cervical removal at hysterectomy for benign disease

              HM Hasson (1993)
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                og
                Revista de Obstetricia y Ginecología de Venezuela
                Rev Obstet Ginecol Venez
                Sociedad de Obstetricia y Ginecología de Venezuela
                0048-7732
                March 2015
                : 75
                : 1
                : 030-040
                Affiliations
                [1 ] Universidad Central de Venezuela Venezuela
                [2 ] Universidad Central de Venezuela Venezuela
                Article
                S0048-77322015000100005
                fadeafb5-5fac-4019-9e16-3e68d2ca3ad1

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Venezuela

                Self URI (journal page): http://www.scielo.org.ve/scielo.php?script=sci_serial&pid=0048-7732&lng=en
                Categories
                OBSTETRICS & GYNECOLOGY

                Obstetrics & Gynecology
                Hysterectomy,Sexual function,Histerectomía,Función sexual
                Obstetrics & Gynecology
                Hysterectomy, Sexual function, Histerectomía, Función sexual

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