[Effect of radical gynecological operations on the patients sexual life (author's transl)]

By inquiring 96 patients in whom radical operation after Wertheim (53) or Schauta-Amreich (43) was applied, the author tried to determine the effect of these operations on the patients' sexual live. The stage of carcinoma was 0 in 5 patients, II in 4, and I in the remaining patients. Surgery has proved considerably to affect the sexual life. Only 58% of patients maintained more or less regular sexual relations after operation. while 34% wholly abstained from them. Causes of this deminished sexual activity are dyspareunie resulting from the anatomically changed vigina and psychic factors (Table 11). In the author's view, it is necessary to parm both partners of possible difficulties during the first coitus in order to avoid conflicts. It is also necessary for the first coitus to take place early before the development of anatomic changes due to the lack of ovarian hormones. Much attention should be paid to psychic factors in young women. To minimize difficulties in coitus, operative reconstruction of the vargina by the sigmoid colon is recommended.