Sexual functioning after total compared with supracervical hysterectomy

A randomized trial

Miriam Kuppermann, Robert L. Summitt, R. Edward Varner, S. Gene McNeeley, Deborah Goodman-Gruen, Lee A. Learman, Christine C. Ireland, Eric Vittinghoff, Feng Lin, Holly E. Richter, Jonathan Showstack, Stephen B. Hulley, A. Eugene Washington

Research output: Contribution to journalArticle

99 Citations (Scopus)

Abstract

OBJECTIVE: To compare sexual functioning and health-related quality-of-life outcomes of total abdominal hysterectomy (TAH) and supracervical hysterectomy (SCH) among women with symptomatic uterine leiomyomata or abnormal uterine bleeding refractory to hormonal management. METHODS: We randomly assigned 135 women scheduled to undergo abdominal hysterectomy in 4 U.S. clinical centers to either a total or supracervical procedure. The primary outcome was sexual functioning at 2 years, as assessed by the Medical Outcomes Study Sexual Problems Scale. Secondary outcomes included specific aspects of sexual functioning and health-related quality-of-life at 6 months and 2 years. RESULTS: Sexual problems improved dramatically in both randomized groups during the first 6 months and plateaued by 1 year. Health-related quality-of-life scores also improved in both groups. At 2 years, both groups reported few problems with sexual functioning (mean score on the Sexual Problems Scale for SCH group 82, TAH group 80, on a 0-to-100 scale with 100 indicating an absence of problems; difference = +2,95% confidence interval -8 to +11), and there were no significant differences between groups. CONCLUSION: Supracervical and total abdominal hysterectomy result in similar sexual functioning and health-related quality of life during 2 years of follow-up. This information can help guide physicians as they discuss surgical options with their patients.

Original languageEnglish (US)
Pages (from-to)1309-1318
Number of pages10
JournalObstetrics and Gynecology
Volume105
Issue number6
DOIs
StatePublished - Jun 2005
Externally publishedYes

Fingerprint

Hysterectomy
Reproductive Health
Quality of Life
Uterine Hemorrhage
Leiomyoma
Outcome Assessment (Health Care)
Confidence Intervals
Physicians

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Kuppermann, M., Summitt, R. L., Varner, R. E., McNeeley, S. G., Goodman-Gruen, D., Learman, L. A., ... Washington, A. E. (2005). Sexual functioning after total compared with supracervical hysterectomy: A randomized trial. Obstetrics and Gynecology, 105(6), 1309-1318. https://doi.org/10.1097/01.AOG.0000160428.81371.be

Sexual functioning after total compared with supracervical hysterectomy : A randomized trial. / Kuppermann, Miriam; Summitt, Robert L.; Varner, R. Edward; McNeeley, S. Gene; Goodman-Gruen, Deborah; Learman, Lee A.; Ireland, Christine C.; Vittinghoff, Eric; Lin, Feng; Richter, Holly E.; Showstack, Jonathan; Hulley, Stephen B.; Washington, A. Eugene.

In: Obstetrics and Gynecology, Vol. 105, No. 6, 06.2005, p. 1309-1318.

Research output: Contribution to journalArticle

Kuppermann, M, Summitt, RL, Varner, RE, McNeeley, SG, Goodman-Gruen, D, Learman, LA, Ireland, CC, Vittinghoff, E, Lin, F, Richter, HE, Showstack, J, Hulley, SB & Washington, AE 2005, 'Sexual functioning after total compared with supracervical hysterectomy: A randomized trial', Obstetrics and Gynecology, vol. 105, no. 6, pp. 1309-1318. https://doi.org/10.1097/01.AOG.0000160428.81371.be
Kuppermann M, Summitt RL, Varner RE, McNeeley SG, Goodman-Gruen D, Learman LA et al. Sexual functioning after total compared with supracervical hysterectomy: A randomized trial. Obstetrics and Gynecology. 2005 Jun;105(6):1309-1318. https://doi.org/10.1097/01.AOG.0000160428.81371.be
Kuppermann, Miriam ; Summitt, Robert L. ; Varner, R. Edward ; McNeeley, S. Gene ; Goodman-Gruen, Deborah ; Learman, Lee A. ; Ireland, Christine C. ; Vittinghoff, Eric ; Lin, Feng ; Richter, Holly E. ; Showstack, Jonathan ; Hulley, Stephen B. ; Washington, A. Eugene. / Sexual functioning after total compared with supracervical hysterectomy : A randomized trial. In: Obstetrics and Gynecology. 2005 ; Vol. 105, No. 6. pp. 1309-1318.
@article{deb2dcaec5f74d5f970c7a851845f630,
title = "Sexual functioning after total compared with supracervical hysterectomy: A randomized trial",
abstract = "OBJECTIVE: To compare sexual functioning and health-related quality-of-life outcomes of total abdominal hysterectomy (TAH) and supracervical hysterectomy (SCH) among women with symptomatic uterine leiomyomata or abnormal uterine bleeding refractory to hormonal management. METHODS: We randomly assigned 135 women scheduled to undergo abdominal hysterectomy in 4 U.S. clinical centers to either a total or supracervical procedure. The primary outcome was sexual functioning at 2 years, as assessed by the Medical Outcomes Study Sexual Problems Scale. Secondary outcomes included specific aspects of sexual functioning and health-related quality-of-life at 6 months and 2 years. RESULTS: Sexual problems improved dramatically in both randomized groups during the first 6 months and plateaued by 1 year. Health-related quality-of-life scores also improved in both groups. At 2 years, both groups reported few problems with sexual functioning (mean score on the Sexual Problems Scale for SCH group 82, TAH group 80, on a 0-to-100 scale with 100 indicating an absence of problems; difference = +2,95{\%} confidence interval -8 to +11), and there were no significant differences between groups. CONCLUSION: Supracervical and total abdominal hysterectomy result in similar sexual functioning and health-related quality of life during 2 years of follow-up. This information can help guide physicians as they discuss surgical options with their patients.",
author = "Miriam Kuppermann and Summitt, {Robert L.} and Varner, {R. Edward} and McNeeley, {S. Gene} and Deborah Goodman-Gruen and Learman, {Lee A.} and Ireland, {Christine C.} and Eric Vittinghoff and Feng Lin and Richter, {Holly E.} and Jonathan Showstack and Hulley, {Stephen B.} and Washington, {A. Eugene}",
year = "2005",
month = "6",
doi = "10.1097/01.AOG.0000160428.81371.be",
language = "English (US)",
volume = "105",
pages = "1309--1318",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Sexual functioning after total compared with supracervical hysterectomy

T2 - A randomized trial

AU - Kuppermann, Miriam

AU - Summitt, Robert L.

AU - Varner, R. Edward

AU - McNeeley, S. Gene

AU - Goodman-Gruen, Deborah

AU - Learman, Lee A.

AU - Ireland, Christine C.

AU - Vittinghoff, Eric

AU - Lin, Feng

AU - Richter, Holly E.

AU - Showstack, Jonathan

AU - Hulley, Stephen B.

AU - Washington, A. Eugene

PY - 2005/6

Y1 - 2005/6

N2 - OBJECTIVE: To compare sexual functioning and health-related quality-of-life outcomes of total abdominal hysterectomy (TAH) and supracervical hysterectomy (SCH) among women with symptomatic uterine leiomyomata or abnormal uterine bleeding refractory to hormonal management. METHODS: We randomly assigned 135 women scheduled to undergo abdominal hysterectomy in 4 U.S. clinical centers to either a total or supracervical procedure. The primary outcome was sexual functioning at 2 years, as assessed by the Medical Outcomes Study Sexual Problems Scale. Secondary outcomes included specific aspects of sexual functioning and health-related quality-of-life at 6 months and 2 years. RESULTS: Sexual problems improved dramatically in both randomized groups during the first 6 months and plateaued by 1 year. Health-related quality-of-life scores also improved in both groups. At 2 years, both groups reported few problems with sexual functioning (mean score on the Sexual Problems Scale for SCH group 82, TAH group 80, on a 0-to-100 scale with 100 indicating an absence of problems; difference = +2,95% confidence interval -8 to +11), and there were no significant differences between groups. CONCLUSION: Supracervical and total abdominal hysterectomy result in similar sexual functioning and health-related quality of life during 2 years of follow-up. This information can help guide physicians as they discuss surgical options with their patients.

AB - OBJECTIVE: To compare sexual functioning and health-related quality-of-life outcomes of total abdominal hysterectomy (TAH) and supracervical hysterectomy (SCH) among women with symptomatic uterine leiomyomata or abnormal uterine bleeding refractory to hormonal management. METHODS: We randomly assigned 135 women scheduled to undergo abdominal hysterectomy in 4 U.S. clinical centers to either a total or supracervical procedure. The primary outcome was sexual functioning at 2 years, as assessed by the Medical Outcomes Study Sexual Problems Scale. Secondary outcomes included specific aspects of sexual functioning and health-related quality-of-life at 6 months and 2 years. RESULTS: Sexual problems improved dramatically in both randomized groups during the first 6 months and plateaued by 1 year. Health-related quality-of-life scores also improved in both groups. At 2 years, both groups reported few problems with sexual functioning (mean score on the Sexual Problems Scale for SCH group 82, TAH group 80, on a 0-to-100 scale with 100 indicating an absence of problems; difference = +2,95% confidence interval -8 to +11), and there were no significant differences between groups. CONCLUSION: Supracervical and total abdominal hysterectomy result in similar sexual functioning and health-related quality of life during 2 years of follow-up. This information can help guide physicians as they discuss surgical options with their patients.

UR - http://www.scopus.com/inward/record.url?scp=21144451645&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=21144451645&partnerID=8YFLogxK

U2 - 10.1097/01.AOG.0000160428.81371.be

DO - 10.1097/01.AOG.0000160428.81371.be

M3 - Article

VL - 105

SP - 1309

EP - 1318

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 6

ER -