Comparison of sexual function, urinary symptoms, bowel function, postoperative pain, and cosmetic satisfaction after vaginal natural orifice transluminal endoscopic surgery and total laparoscopic hysterectomy
REVISTA DA ASSOCIACAO MEDICA BRASILEIRA, cilt.72, sa.6, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 72 Sayı: 6
- Basım Tarihi: 2026
- Doi Numarası: 10.1590/1806-9282.20252179
- Dergi Adı: REVISTA DA ASSOCIACAO MEDICA BRASILEIRA
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Dokuz Eylül Üniversitesi Adresli: Evet
Özet
OBJECTIVE: The aim of this study was to compare postoperative sexual, urinary, and bowel function, pain, and cosmetic satisfaction in women undergoing hysterectomy via vaginal natural orifice transluminal endoscopic surgery or total laparoscopic hysterectomy for benign indications. METHODS: This retrospective study evaluated 43 patients who underwent total laparoscopic hysterectomy (n=25) or vaginal natural orifice transluminal endoscopic surgery (n=18) between January 2021 and June 2025. Functional outcomes were assessed using Female Sexual Function Index, Urogenital Distress Inventory-6, and Wexner scores; pain and cosmetic satisfaction were measured with Visual Analog Scale. Appropriate statistical tests were applied with p<0.05 considered significant. RESULTS: Sexual, urinary, and bowel outcomes were similar between groups (p>0.05). Pain scores at 24 and 48 h were significantly lower in the vaginal natural orifice transluminal endoscopic surgery group (p=0.012 and p=0.028), and cosmetic satisfaction was higher (p=0.004). CONCLUSION: Vaginal natural orifice transluminal endoscopic surgery and total laparoscopic hysterectomyyield comparable functional outcomes, but vaginal natural orifice transluminal endoscopic surgery demonstrates advantages in postoperative pain and cosmetic satisfaction.