Related Experiment Video
Updated: May 25, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Pelvic dysfunctions and quality of life after nerve-sparing radical hysterectomy: a multicenter comparative study
Marcello Ceccaroni1, Giovanni Roviglione, Emanuela Spagnolo
1Gynecologic Oncology Division, Department of Obstetrics and Gynecology, International School of Surgical Anatomy, European Gynaecology Endoscopy School, Sacred Heart Hospital, Via Don A. Sempreboni No.5, 37024 Negrar, Verona, Italy. issaschool@gmail.com
Aim:
To analyze pelvic dysfunctions, quality of life, and survival after nerve-sparing radical hysterectomy (NSRH) compared to classical radical hysterectomy (RH) for cervical cancer.
Patients And Methods:
All cervical cancer patients undergoing a RH or a NSRH were evaluated for pelvic dysfunctions and filled in a quality-of-life questionnaire.
Results:
A total of 56 women were included; 31 underwent RH (group 1) and 25 NSRH (group 2). Postoperatively, a higher number of patients had urinary incontinence (p=0.02), urinary retention (p=0.01), faecal incontinence (p=0.01) and constipation (p=0.01) in group 1 versus group 2. Patients referred a higher rate of severe sexual dysfunction after RH compared to NSRH (p=0.03). No differences were found in orgasmic frequency and sexual desire; overall quality of life evaluation was more satisfactory after NSRH.
Conclusion:
NSRH conferred a better clinical outcome with fewer long-term bladder, colorectal and sexual complications. Post-operative quality of life after NSRH was better, with the same overall survival as compared to RH.
