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Questionnaire-based evaluation of sexual life after laparoscopic surgery for endometriosis : A systematic review of prospective studies

Franck, Cecilie ; Poulsen, Marlene H. ; Karampas, Grigorios LU ; Giraldi, Annamaria and Rudnicki, Martin (2018) In Acta Obstetricia et Gynecologica Scandinavica 97(9). p.1091-1104
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 and methods: 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... (More)

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 and methods: 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.

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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Endometriosis, Laparoscopy, Questionnaire, Sexual function, Systematic review
in
Acta Obstetricia et Gynecologica Scandinavica
volume
97
issue
9
pages
1091 - 1104
publisher
Wiley-Blackwell
external identifiers
  • pmid:29754435
  • scopus:85047659914
ISSN
0001-6349
DOI
10.1111/aogs.13369
language
English
LU publication?
no
id
b9f49254-2bb0-40e6-8e17-e77a03500fee
date added to LUP
2018-06-14 16:21:14
date last changed
2024-03-01 20:52:53
@article{b9f49254-2bb0-40e6-8e17-e77a03500fee,
  abstract     = {{<p>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 and methods: 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.</p>}},
  author       = {{Franck, Cecilie and Poulsen, Marlene H. and Karampas, Grigorios and Giraldi, Annamaria and Rudnicki, Martin}},
  issn         = {{0001-6349}},
  keywords     = {{Endometriosis; Laparoscopy; Questionnaire; Sexual function; Systematic review}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{9}},
  pages        = {{1091--1104}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Obstetricia et Gynecologica Scandinavica}},
  title        = {{Questionnaire-based evaluation of sexual life after laparoscopic surgery for endometriosis : A systematic review of prospective studies}},
  url          = {{http://dx.doi.org/10.1111/aogs.13369}},
  doi          = {{10.1111/aogs.13369}},
  volume       = {{97}},
  year         = {{2018}},
}