In this prospective, comparative non-randomized multiple teaching hospitals study, the investigators try to determine the relationship of total hysterectomy and Taiwanese female pelvic floor and sexual function from the view of epidemiology and clinical survey. This is an important issue that related to female autonomy, health care resources and even national health policy. The study results will help to understand whether there is unnecessary part in the current hysterectomy procedures and its potential health hazard.
Women with benign gynecology disease and indicated for laparoscopic hysterectomy (laparoscopic subtotal hysterectomy: LSH, laparoscopic cervical ligament sparing hysterectomy: CLSH, laparoscopic assisted vaginal hysterectomy: LAVH) are invited and explained the details of the protocol by the surgeon. The types of hysterectomy are determined by the patient and the surgeon together after discussion. All participant have to sign the informed consent. The participant will be followed up for two years after surgery. Preoperative evaluation on uterine condition, pelvic floor, questionaires were recorded. The perioperative parameters including surgical time, blood loss, and postoperative parameters such as pain score, hospitalization etc were recorded. The postoperative evaluation on pelvic floor condition, questionaires etc were also recorded at different time points.
Study Type
OBSERVATIONAL
Enrollment
120
Dalin Tzu Chi Hospital
Chiayi City, Chiayi, Taiwan
Buddhist Tzu Chi General Hospital
Hualien City, Hualien, Taiwan
Mennonite Memorial Hospital
Hualien City, Hualien, Taiwan
Taipei Tzu Chi Hospital
Taipei, Taipei, Taiwan
Quality of life change
Evaluate the change of quality of life by questionaire --WHOQOL-BREF Taiwan version, at preoperation,1,3,6 and 12 months after hysterectomy.
Time frame: up to 12 months after hysterectomy
Pelvic organ prolapse change
evaluate by Pelvic Organ Prolapse Quantification System (POP-Q) at preoperation, 6,12 and 24 months after hysterectomy.
Time frame: up to 24 months after hysterectomy
Urinary disorders change
evaluate by UDI-6 short form at preoperation,3,6 and 12 months after hysterectomy.
Time frame: preoperation and 3,6 and 12 months after hysterectomy
Sexual life change
short form of PISQ-9 approved by International Urogynecological Association, IUGA, at preoperation,3,6 and 12 months after hysterectomy.
Time frame: preoperation and 3,6 and 12 months after hysterectomy
Urinary incontinence status change
evaluate by IIQ-7 short form at preoperation,3,6 and 12 months after hysterectomy.
Time frame: preoperation and 3,6 and 12 months after hysterectomy
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