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Early Cervical Cancer Impact of Peritoneal Vaginoplasty Combined With Laparoscopic Radical Hysterectomy Improved Sexual Function
  1. Shu-Qin Chen, PhD, MD*,
  2. Ling-Zhi Kong, MD*,
  3. Hong-Ye Jiang, MD*,
  4. Li Fan, MD*,
  5. Jun Chen, PhD, MD and
  6. Shu-Zhong Yao, PhD, MD*
  1. *Department of Gynecology and Obstetrics, The First Affiliated Hospital, and
  2. Department of Infertility and Sexual Medicine, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
  1. Address correspondence and reprint requests to Shu-Zhong Yao, PhD, MD, Department of Gynecology and Obstetrics, The First Affiliated Hospital, Sun Yat-sen University, No.58, Zhongshan 2th Rd, Guangzhou, China, 510080. E-mail: yszlfy@163.com; Jun Chen, PhD, MD, Department of Infertility and Sexual Medicine, The Third Affiliated Hospital, Sun Yat-sen University, No. 600 Tianhe Rd, Guangzhou 510630, China. E-mail: jchen121121@hotmail.com.

Abstract

Objective We investigated the impact of laparoscopic radical hysterectomy (LRH) in combination with peritoneal vaginoplasty (PV) in improving sexual function after radical hysterectomy (RH) in patients with early cervical cancer.

Methods A total of 79 patients with early-stage cervical cancer younger than 45 years were assigned to receive LRH in combination with PV (the LRH-PV group; n = 31) or LRH alone (the LRH group; n = 48). Other 40 healthy females were selected as controls (the control group). The sexual function was assessed with Female Sexual Functioning Index (FSFI). The FSFI scores and sexual function in the postoperative 1 year were compared between the LRH-PV and LRH groups, LRH-PV and control groups, and LRH and control groups, respectively.

Results Patients with LRH-PV showed significantly higher scores in sexual satisfaction, lubrication, pain, and total score than those with LRH alone (P < 0.05) but were not statistically different in scores regarding sexual desire, arousal, and orgasm (P > 0.05). Healthy controls showed the highest in total scores and 6 domains among all subjects. In addition, the FSFI total scores in the LRH-PV group, LRH group, and LRH-PV + LRH group were significantly decreased compared with the control (P < 0.05).

Conclusions Peritoneal vaginoplasty to lengthen the vagina improves sexual function of patients with early cervical cancer receiving LRH in sexual satisfaction, lubrication, and pain.

  • Cervical cancer
  • Radical hysterectomy
  • Vaginal lengthening
  • Peritoneum
  • Sexual function

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Footnotes

  • Supported by the Sun Yat-sen University Clinical Medical Research Project 5010 China (no. 2007010).

  • The authors declare no conflicts of interest.

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