Atlıhan Ufuk, Yavuz Onur, Avşar Hüseyin Aytuğ, Ata Can, Erkılınç Selçuk, Bildacı Tevfik Berk, Acet Ferruh, Ersak Burak, Özay Ali Cenk
Manisa Merkezefendi State Hospital, Clinic of Obstetrics and Gynecology, Manisa, Türkiye.
Dokuz Eylül University Faculty of Medicine, Department of Obstetrics and Gynecology, İzmir, Türkiye.
Turk J Obstet Gynecol. 2025 Jun 4;22(2):147-153. doi: 10.4274/tjod.galenos.2025.46066.
Sexual function and quality of life are significantly reduced in endometriosis patients, particularly those with deep infiltrative endometriosis (DIE). The purpose of this study was to compare the effects of endometriosis excision and excision techniques on sexual function among individuals with DIE to those of healthy females in an objective manner.
Our study included 140 individuals who were diagnosed as having DIE and reported dyspareunia in our clinic between January 2018 and 2024, and 70 patients who presented to our family planning clinic. The preoperative and 6-month post-surgery scores of the female sexual function index (FSFI), quality of sexual experience scale (QSES), and visual analog scale (VAS) values of all patients who described preoperative dyspareunia were examined retrospectively from the patient files.
In our study, the FSFI score of healthy groups was seen to be significantly greater than the pre-surgery and post-surgery groups (p<0.001 and p<0.001, respectively). The QSES scores of the healthy group were found to be significantly higher than the pre-surgery and post-surgery groups (p<0.001 and p<0.001, respectively). The VAS dyspareunia values of the healthy group were discovered to be significantly lower than the pre-surgery and post-surgery groups (p<0.001 and p<0.001, respectively). The FSFI and QSES scores of the post-surgery group were significantly higher than those of the pre-surgery group (p<0.001 and p<0.001, respectively). The VAS dyspareunia score of the post-surgery group was seen to be significantly lower than that of the pre-surgery group (p<0.001). The FSFI and QSES scores of patients who underwent laparotomy were discovered to be significantly greater than that of individuals who underwent laparoscopic surgery (p<0.001 and p=0.01, respectively).
The surgical approach may have a positive effect on both organ dysfunction and sexual function in women with DIE; this issue should be considered carefully.
子宫内膜异位症患者，尤其是深部浸润性子宫内膜异位症（DIE）患者的性功能和生活质量显著降低。本研究的目的是以客观的方式比较DIE患者中子宫内膜异位症切除术及切除技术对性功能的影响与健康女性的情况。
我们的研究纳入了2018年1月至2024年期间在我们诊所被诊断为患有DIE并报告性交困难的140名个体，以及70名到我们计划生育诊所就诊的患者。从患者档案中回顾性检查了所有描述术前性交困难的患者的女性性功能指数（FSFI）、性体验质量量表（QSES）和视觉模拟量表（VAS）值的术前及术后6个月评分。
在我们的研究中，健康组的FSFI评分显著高于手术前和手术后组（分别为p<0.001和p<0.001）。发现健康组的QSES评分显著高于手术前和手术后组（分别为p<0.001和p<0.001）。发现健康组的VAS性交困难值显著低于手术前和手术后组（分别为p<0.001和p<0.001）。手术后组的FSFI和QSES评分显著高于手术前组（分别为p<0.001和p<0.001）。手术后组的VAS性交困难评分显著低于手术前组（p<0.001）。发现接受剖腹手术的患者的FSFI和QSES评分显著高于接受腹腔镜手术的患者（分别为p<0.001和p = 0.01）。
手术方式可能对患有DIE的女性的器官功能障碍和性功能都有积极影响；对此问题应仔细考虑。
