Psycho-sexual impact of the hysterectomy of African woman: experience of Cocody University Hospital (UH-C)

摘要

Background: Specify the psychological and sexual impact of hysterectomy on the life of the women after the surgical operation. Methods: It is a cross-sectional study which was undertaken in the obstetrical gynaecology department of the CHU of Cocody and in the National Institute of Mental Health of Abidjan over an 18-month period from December 1supst/sup, 2015 to May 31supst/sup, 2016. During that period, for gynaecological indications, hysterectomized patients who resumed sexual activities and accepted to take part in the study have been included. Results: The frequency of hysterectomy has been 3.82% of the whole of more important surgical operations of the obstetrical gynaecology department. The epidemiologic profile of our patients has been that of a 43 years old woman, pauciparous and a single person. The indications were dominated by the uterine fibrome (56%), followed by the peritonitis post abortum, the by the cancer of uterine cervix, and finally by the cancer of the ovarian tumors, with 10% each one. In less than 90 days, 88% of the women had resumed sexual intercourses. Six months after the hysterectomy, 66% of the women had a feeling of being better and 44% felt a change in their sexual life. Conclusions: The hysterectomy undoubtedly brings about changes in the daily life, and sexual intercourses of the patients. Therefore, it must be taken into account whenever that intervention is essential.