A Systematic Review of Clinical Trials Assessing Sexuality in Hysterectomized Patients.
Por:
Martinez-Cayuelas, L, Sarrio-Sanz, P, Palazon A, Verdu-Verdu, L, Lopez-Lopez, A, Gil V, Romero-Maroto, J and Gomez-Perez, L
Publicada:
10 abr 2021
Ahead of Print:
10 abr 2021
Resumen:
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.
Filiaciones:
:
Univ Hosp Vinalopo, Urol Serv, Alicante 03293, Spain
:
Univ Hosp San Juan Alicante, Urol Serv, Alicante 03550, Spain
Palazon A:
Miguel Hernandez Univ, Dept Clin Med, Alicante 03550, Spain
:
Hosp Marina Baixa, Urol Serv, Alicante 03570, Spain
:
Univ Hosp San Juan Alicante, Urol Serv, Alicante 03550, Spain
Gil V:
Miguel Hernandez Univ, Dept Clin Med, Alicante 03550, Spain
:
Univ Hosp San Juan Alicante, Urol Serv, Alicante 03550, Spain
:
Univ Hosp San Juan Alicante, Urol Serv, Alicante 03550, Spain
gold, Green Published
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