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Sexual function after transvaginal cholecystectomy: a systematic review.
Anders M Donatsky1, Lars N Jørgensen, Søren Meisner
1*Department of Surgery, Herlev Hospital †Department of Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|August 1, 2014
Summary
Transvaginal cholecystectomy appears to have minimal impact on sexual health. This systematic review found low rates of de novo dyspareunia and no impairment in sexual function when validated questionnaires were used.
Area of Science:
- Gastrointestinal Surgery
- Gynecologic Surgery
- Sexual Health Research
Background:
- Transvaginal cholecystectomy offers benefits but raises patient concerns regarding sexual health.
- Existing literature lacks comprehensive assessment of its impact on postoperative sexual function and dyspareunia.
Purpose of the Study:
- To systematically review and assess the impact of transvaginal cholecystectomy on postoperative dyspareunia and sexual function.
Main Methods:
- A comprehensive literature search was conducted in PubMed and EMBASE.
- Included studies reported on postoperative dyspareunia, vaginal pain/discomfort, and sexual function.
Main Results:
- Seventeen papers addressed dyspareunia; de novo rates ranged from 3.8% to 12.5% in two studies, with most reporting no dyspareunia.
- Eight papers examined sexual function; only one nonvalidated study indicated impairment.
- Studies using validated questionnaires found no significant impairment in sexual function.
Conclusions:
- The risk of sexual dysfunction and dyspareunia following transvaginal cholecystectomy appears minimal.
- Further well-designed studies employing validated questionnaires are needed for definitive assessment.
