Walcher W, Ralph G, Lahousen M, Scheer I, Tamussino K, Rollett H
Geburtshilflich-Gynäkologischen, Universitäts-Klinik, Graz.
Zentralbl Gynakol. 1988;110(18):1109-16.
In a retrospective study to evaluate the sexuality of patients after radical surgery for cervical cancer, we interviewed with a standardized questionnaire 87 women who had undergone radical abdominal (N = 76) or radical vaginal (N = 11) hysterectomy between 1971 and 1985. Apart from employment and partnership, we assessed sexual behaviour as reflected by frequency of coitus, libido, and orgasm. The patients were questioned about each aspect preoperatively before knowing the diagnosis, post-operatively after the immediate effects of surgery had passed, and at the time of the interview. 6.6% of the women could be considered invalids. There was a clear decrease in frequency of coitus and an anxiety-related decrease of libido. However, the number of patients without sexual activity was not statistically different from that in an age-matched group of women who did not undergo surgery. 4.5% of partnerships broke up as an immediate consequence of the surgery. Only 20% of the patients felt they had been adequately informed of possible sexual consequences of treatment by the surgeon.
在一项评估宫颈癌根治性手术后患者性功能的回顾性研究中，我们用标准化问卷对1971年至1985年间接受根治性腹部子宫切除术（N = 76）或根治性阴道子宫切除术（N = 11）的87名女性进行了访谈。除了就业和伴侣关系外，我们还评估了性行为，具体表现为性交频率、性欲和性高潮。在术前诊断前、术后手术直接影响消退后以及访谈时，对患者的各个方面进行了询问。6.6%的女性可被视为残疾。性交频率明显下降，性欲因焦虑而降低。然而，无性行为的患者数量与未接受手术的年龄匹配女性组相比，在统计学上没有差异。4.5%的伴侣关系因手术直接破裂。只有20%的患者认为外科医生已充分告知她们治疗可能产生的性后果。
