The Changes In Lower Urinary Tract Symptoms (LUTSs),Impact On Sexual Function,and Patient Compliance In The Immediate Postoperative Period Following Total Hysterectomy Versus Subtotal Hysterectomy For Non-prolapsed Uterus

Objective: To investigate the changes in lower urinary tract symptoms(LUTSs),impact on sexual function,and patient compliance in the immediate postoperative period following total hysterectomy versus subtotal hysterectomy for non-prolapsed uterus.Methods: 124 patients undergoing laparoscopic or transabdominal total hysterectomy or subtotal hysterectomy for non-prolapsed benign disease in Shengjing Hospital of China Medical University from March to May 2017 were selected.Of them,98 underwent total hysterectomy,and 26 underwent subtotal hysterectomy.Results: By 6 months postoperatively,32(32.65%)patients in total hysterectomy group had experienced changes in LUTSs,including 13(13.27%)experiencing urinary incontinence;2(7.70%)patients in subtotal hysterectomy group had experienced changes in LUTSs,including 1(4.17%)experiencing urinary incontinence.The proportion of patients experiencing changes in LUTSs by 6 months postoperatively was significantly higher in total hysterectomy group than in subtotal hysterectomy group,with statistically significant difference(P<0.05).At 6 months postoperatively,24(24.49%)patients had reduced sexual function,1(1.02%)had increased sexual function,and 73(74.49%)had no change in sexual function in total hysterectomy group;1(3.85%)patient had reduced sexual function 5(19.23%)had increased sexual function,and 20(76.92%)had no change in sexual function in subtotal hysterectomy group,with statistically significant differences between the two groups(P<0.001).Conclusion: In the immediately postoperative period,the quality of life,changes in LUTSs and sexual function are better in patients undergoing subtotal hysterectomy than in those undergoing total hysterectomy;however the compliance is generally not high in any patients.