Sexual functioning after total versus subtotal laparoscopic hysterectomy—long term follow up results after 7 years
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By
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Tobias Brodkorb
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Ahmed Elnahrawy
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Saskia Spaich
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Marc Sütterlin
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Sebastian Berlit
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Benjamin Tuschy
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Lukas Goerdt
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June 7, 2026
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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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