10357 Does Sexual Function Prior to Hysterectomy Impact Post-Operative Regret?

Document Type

Conference Proceeding

Publication Date

11-1-2023

Publication Title

J Minim Invasive Gynecol

Abstract

Study Objective: To investigate the pattern of regret after hysterectomy as it relates to sexual function. Design: Prospective cohort study of women undergoing hysterectomy. Setting: Academic tertiary medical center. Patients or Participants: 456 women who underwent hysterectomy for benign indications. Interventions: None. Measurements and Main Results: Participants undergoing hysterectomy for benign indications and without concurrent urogynecologic surgery were recruited and asked to complete a baseline survey 2-weeks prior to their scheduled procedure, as well as seven follow-up surveys up to 12-months post-operatively. Using latent class analysis, overall regret scores were derived from five validated survey questions and were used to determine patterns of regret following hysterectomy. Three classes were identified: high regret that remained high over time (Class 1); high regret that lowered over time (Class 2); and low regret that remained low (Class 3). Women who reported they were moderately dissatisfied with their sexual life prior to surgery were more likely to be in Class 1 relative to the Class 3 compared with women who were very satisfied with their sexual life (multinomial logistic regression, risk ratio=4.92, 95% CI: 1.48, 16.31). Conclusion: Self-reported sexual dissatisfaction prior to surgery is associated with postoperative regret. Gynecologists and their patients may take this into consideration during preoperative counseling.

Volume

30

Issue

11

First Page

S116

Last Page

S117

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