Questionnaire-based evaluation of sexual life after laparoscopic surgery for endometriosis: a systematic review of prospective studies.
Acta Obstet Gynecol Scand
; 97(9): 1091-1104, 2018 Sep.
Article
em En
| MEDLINE
| ID: mdl-29754435
ABSTRACT
INTRODUCTION:
Endometriosis is a benign disease that affects women of reproductive age. Laparoscopic excision of endometriotic implants is considered one of the most effective therapeutic options. The disease and its treatment can have a major impact on psychosexual well-being but this is often overlooked as most studies focus on pain instead of sexuality in a holistic approach. The aim of this study was to review the current literature regarding the effect of laparoscopic surgery for endometriosis on quality of sexual life (QoSL). MATERIAL ANDMETHODS:
Following the "Preferred Reporting Items for Systematic Reviews and Meta-Analyses" guidelines we conducted a systematic review that involved searching PubMed and Embase databases for prospective studies evaluating the effect of laparoscopic surgery for endometriosis on QoSL, using validated questionnaires.RESULTS:
Of 357 papers, 17 were selected for full text evaluation. Twelve studies using seven different questionnaires fulfilled the inclusion criteria. All studies reported improvements in QoSL following laparoscopic surgery for endometriosis. A meta-analysis could not be performed due to substantial heterogeneity among the included studies arising from differences in questionnaires, follow-up duration, stages of endometriosis, use of hormonal treatment, and missing data.CONCLUSIONS:
Laparoscopic excision of endometriosis can improve QoSL. However, there is a need for randomized controlled trials based on a new validated questionnaire regarding specifically QoSL in association with endometriosis. As sexual functioning is a complex phenomenon driven by multiple physical, psychological and social factors, QoSL should be holistically evaluated by a team of different healthcare providers, implementing treatment programs that are individualized to each woman.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Comportamento Sexual
/
Inquéritos e Questionários
/
Laparoscopia
/
Endometriose
Tipo de estudo:
Clinical_trials
/
Guideline
/
Observational_studies
/
Qualitative_research
/
Risk_factors_studies
/
Systematic_reviews
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Acta Obstet Gynecol Scand
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Dinamarca