Long-term Evaluation of Sexual Functioning Following Total Versus Subtotal Laparoscopic Hysterectomy: Results After Seven Years
By
Tobias Brodkorb
Ahmed Elnahrawy
Saskia Spaich
Marc Sütterlin
Sebastian Berlit
Benjamin Tuschy
Lukas Goerdt
June 7, 2026
Clinical Scorecard: Long-term Evaluation of Sexual Functioning Following Total Versus Subtotal Laparoscopic Hysterectomy: Results After Seven Years
At a Glance
Category Detail
Condition Key Mechanisms Comparison of TLH and LASH regarding sexual function outcomes, as per study findings. Target Population Care Setting
Key Highlights
No significant difference in sexual function between TLH and LASH as measured by FSFI total score. Long-term follow-up median period: 98 months for LASH, 92 months for TLH. Significant deterioration in lubrication reported in the LASH group postoperatively. Baseline to follow-up changes in sexual function were small for both groups. Guideline-Based Recommendations
Diagnosis
Utilize the FSFI for assessing sexual function, as per study methodology. Management
Consider shared decision-making regarding surgical method (TLH vs LASH), based on patient preferences. Monitoring & Follow-up
Regular follow-up assessments of sexual function post-hysterectomy, as indicated by study findings. Risks
Potential for postoperative sexual dysfunction, particularly in lubrication for LASH, as reported in the study. Patient & Prescribing Data
Women with benign conditions requiring hysterectomy.
Both TLH and LASH show similar long-term sexual function outcomes.
Clinical Best Practices
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