Female sexual dysfunction post radical cystectomy and urinary diversion

Objectives: To evaluate the impact of radical cystectomy and urinary diversion on female sexual function. Materials and methods: A Medline search was conducted according to the PRISMA statement for all English full-text articles published between 1980 and 2016 and assessing female sexual function po...

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Bibliographic Details
Published in:Climacteric : the journal of the International Menopause Society 2016-12, Vol.19 (6), p.546-550
Main Authors: Zahran, M. H., Fahmy, O., El-Hefnawy, A. S., Ali-El-Dein, B.
Format: Article
Language:English
Subjects:
Adult
Aged
Cystectomy - adverse effects
Cysts
Dyspareunia - epidemiology
Female
female cystectomy
Humans
MEDLINE
Middle Aged
Postoperative Complications - epidemiology
Quality of Life
Radical cystectomy
Sexual disorders
sexual dysfunction
Sexual Dysfunction, Physiological - epidemiology
Sexual Dysfunctions, Psychological - epidemiology
urinary diversion
Urinary Diversion - adverse effects
Urogenital system
women
Womens health
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Summary:Objectives: To evaluate the impact of radical cystectomy and urinary diversion on female sexual function. Materials and methods: A Medline search was conducted according to the PRISMA statement for all English full-text articles published between 1980 and 2016 and assessing female sexual function post radical cystectomy and urinary diversion. Eligible studies were subjected to critical analysis and revision. The primary outcomes were the reporting methods for female sexual dysfunction (FSD), manifestations of FSD, and factors associated with FSD, postoperative recoverability of FSD, and awareness level regarding FSD. Results: From the resulting 117 articles, 11 studies were finally included in our systematic review, with a total of 361 women. Loss of sexual desire and orgasm disorders were the most frequently reported (49% and 39%). Dyspareunia and vaginal lubrication disorders were reported in 25% and 9.5%, respectively. The incidence of sexual dysfunction was 10% in 30 patients receiving genital- or nerve-sparing cystectomy vs. 59% receiving conventional cystectomy. Conclusion: Although female sexual function is an important predictor of health-related quality of life post radical cystectomy and urinary diversion, the available literature is not enough to provide proper information for surgeons and patients.
ISSN:1369-7137
1473-0804
DOI:10.1080/13697137.2016.1225714