Questionnaire-based evaluation of sexual life after laparoscopic surgery for endometriosis : A systematic review of prospective studies
(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
- Franck, Cecilie ; Poulsen, Marlene H. ; Karampas, Grigorios LU ; Giraldi, Annamaria and Rudnicki, Martin
- publishing date
- 2018-01-01
- 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
- 2024-07-22 18:37:24
@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}}, }