Objective:

To evaluate long-term sexual functioning differences between total laparoscopic hysterectomy (TLH) and subtotal laparoscopic hysterectomy (LASH) after seven years.

Approach:

Key Findings:

• No significant difference in total FSFI scores between TLH (22.5 ± 9.1) and LASH (22.3 ± 9.6) groups (p = 0.910).
• Significant deterioration in FSFI scores in the LASH group from baseline to follow-up (27.6 ± 8.9 to 22.3 ± 9.6, p = 0.028).
• No significant difference in changes from baseline to follow-up between TLH and LASH groups (p = 0.261).
• Significant deterioration in lubrication scores in the LASH group (baseline: 4.96 ± 1.94, follow-up: 3.62 ± 1.87, p = 0.007).

Interpretation:

The study reports no significant long-term differences in sexual function between TLH and LASH, although LASH patients experienced a notable decline in lubrication.

Limitations:

• Dropout of patients leading to incomplete data sets.
• Potential biases in self-reported sexual function assessments.

Conclusion:

The findings indicate that both surgical methods do not significantly differ in long-term sexual functioning outcomes, despite some deterioration noted in the LASH group.

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