Consequences of hysterectomy at the national- Hospital of pikine in dakar

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Published Feb 20, 2015
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Vol. 92 No. 10 (2014): Issue Oct 2014

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Gueye M
Diouf Aa
Cisse A
Coulbary As
Moreau Jc
Diouf A

Abstract

Background: Despite the frequency of hysterectomy, several studies have reported physical and psychological sequelae of this intervention.

But : To evaluate the consequences of hysterectomy, their level of importance and how patients experience hysterectomy. Methods: That is a prospective study of 70 patients who underwent a hysterectomy from January 2009 to June 2011 at Pikine National Hospital. The experience of hysterectomy was determined by the physical and psychosocial felt after surgery.

Results: Hysterectomy represented 5.9 % of gynecological surgical activities. The indications were dominated by myoma (57.1%). Hysterectomy was performed abdominally in 78.6% of cases and associated with bilateral salpingo-oophorectomy in 87% of cases. After surgery, new symptoms appeared: hot flushes, night sweats, urinary incontinence and urge incontinence in respectively 65.7%, 54.3%, 7.1% and 11.4% of patients. A proportion of 45.6% of them had resumed sexual activity after 90 days. The fear of pain at the time of intercourse was expressed in 55.7% of cases. A decrease in the frequency of sexual intercourse was found in 54.3% of patients. A drop of pleasure during sex was expressed in 38.6% of patients. Psychological effects were also reported by patients: decreased confidence in 31.4% of patients, feeling of being rejected by her husband in 5.7% of cases, sensation of mutilation in 24.3% of cases.

Conclusion: Physical and psychological postoperative impacts of hysterectomy are real. Adequate accompanying measures are necessary, in addition to preoperative preparation, to allow patients to improve the experience of hysterectomy.

Keywords:

Hysterectomy, Consequences, Experience, Prevention.

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References

  1. Deffieux X, Huel C, Cosson M. Hystérectomies subtotales: données récentes et implications pratiques. J Gynecol Obstet Biol Reprod, 2006;35:10-5
  2. Mamy L, Letouzey V, Chevalier N. Gondry J, Mares P, de Tayrac R. Séquelles vésicophinctérienne, anorectales et génitosexuelles de l'hystérectomie. Pelv Perineol, 2009; 4:22-30.
  3. Clayton, RD. Hysterectomy. Obstet Gynecol, 2006; 20:73-87.
  4. Wu JM, Wechter ME, Geller EJ. Hyterectomy rates in the United States. Obstet Gynecol, 2003; 110:1091-5
  5. Barrat J, Marpeau L, Leger D. Réflexions à propos de l'hystérectomie. Indications, abus, retentissements psychologiques. Bull Acad Natl Med, 1995; 110:1855-70.
  6. Subtil D, Cosson M, Vinatier D. Epidémiologie des hystérectomies. Hystérectomies pour pathologies bénignes. Masson, Williams et Wilkins, Paris-France, 1997:151-9
  7. Kjerullf KH, Langenberg PW, Greenaway L, Umm J, Harvey LA. Urinary incontinence and hysterectomy in a large prospective cohort study in Amencan women. J Urol, 2002; 167:2088-92
  8. Diallo D, Sy M, Guèye S, Moreau J. L'ystérectomie par voie vaginale à la clinique gynécologique et obstétricale du CHU A. Le Dantec. Med Afr Noire, 2005; 52:376-8.
  9. Sissoko S. Les hystérectomies vaginales dans le service de gynécologie obstétrique de l'hopital du Point G. A propos de 58 cas. These médecine. Université de Bamako. 2001-2002.
  10. Debodinance P. Hystérectomies pour lésions bénignes sur utérus non prolabé: Epidémiologie et suites opératoires dans le Nord de la France. Gynecol Obstet, 2001; 30(2):151-9.
  11. Haute JC. Vers un modèle théorique de la personne soignée. http://www.cadredesante.com/spip/spip.php?article130
  12. Dao B, Touré B, Sano D, Bambara M. Les hystérectomies en zone tropicale:expérience d'une maternité africaine. A propos de 141 cas au Burkina Faso. Tunis Med, 2001; 79:47-50.
  13. Graesslin O, Martin-Morille C, Leguillier -A, MC. Local investigation concerning psychic and sexual functioning a short time after hysterectomy. Gynecol Obstet Fertil, 2002; 30(6):474-82.
  14. Taylor T, Smith A, Fulton M. Effects of hysterectomy on bowel and bladder function. Int J Colorectal Dis, 1990; 5:228-31
  15. Chevalier N. Les conséquences fonctionnelles urinaires, digestives et sexuelles des hystérectomies vaginales: étude cas- témoins. Thése de medecine, université Kremlin-Bicetre, Paris-XI. 2003
  16. Virtanen H, Makinen J, Tenho T. Effects of abdominal hysterectomy on urinary and sexual symptoms. Br J Urol, 1993; 72:868-72
  17. Griffith-Jones M-D, Jarvis G-J, Mcnamara H-M. Adverse urinary symptoms after total abdominal hysterectomy-fact or fiction. Br J Urol, 1992; 67:295-7.
  18. Bhattacharya S, Mollison J, Pinion S. A comparison of bladder and ovarian function two-years following hysterectomy or endometrial ablation. Br J Obstet Gynecol, 1996; 103:898-903.
  19. Milsom I, Ekelund P, Molander U. The influence of age, parity, oral contraception, hysterectomy and menopause on the prevalence of urinary incontinence in women. J Urol, 1993; 149:1459-62.
  20. Ayoubi J, Fanchin R, Monrozies X. Respective consequences of abdominal, vaginal and laparoscopic hysterectomies on women's sexuality. Eur J Obstet Gynecol Reprod Biol, 2003; 111:179-82.