EFFECTS OF HYSTERECTOMY ON PELVIC FLOOR AND SEXUAL FUNCTION: A COHORT STUDY

Abstract

Objective: The chief objective is to measure the association between abdominal hysterectomy and development of pelvic wall dysfunction and sexual dysfunction.

Study Design: Prospective cohort study

Place and duration of study:  The study was conducted in hospital over a period of eight months from Jan-Aug 2023

Methodology: We included 100 females undergoing abdominal hysterectomy with help of WHO sample size calculator and followed them at six months and one year interval to find association between the hysterectomy and development of pelvic floor and sexual dysfunction according to criteria furnished.

Results: The relative risk (R.R) development of pelvic dysfunction at six months post-operatively was 1.2(95% CI: 0.68-2.10) and one-year post-operatively was found to be 0.48 (95% CI: 0.10-2.23) which shows that risk of development of pelvic dysfunction reduced after one year. The relative risk of development of sexual dysfunction at six months was 1.33 (95% CI: 0.55-3.23) and after one year of surgery was 2.0 (95% CI: 0.54-7.3).

Conclusion: We arrived at the conclusion that there is risk of development of pelvic floor and sexual dysfunction after abdominal hysterectomy but it improves over time.