Abstract
Radical hysterectomy, as a basic therapeutic modality of early stages of cervical cancer, has very positive oncogynaecologic results. On the opposite site it has it´s significant morbidity including deterioration in patient´s sexual life.
Prospective data of forty one patients undergoing radical hysterectomy for cervical cancer were used for analysis, compared with data of patients undergoing simple hysterectomy for benign gynaecologic disease and a group of healthy controls. There was statistically significant worsening in objective arousal in cervical cancer patients (p = 0,041).
Also decrease in libido and higher frequency of dyspareunia was registered. Patients undergoing simple hysterectomy showed decreasing trend in sexual dysfunctions, mainly in severe dyspareunia.
In conclusion: Radical hysterectomy for cervical carcinoma has a risk of arousal disorder, libido decrease and worsening of dyspareunia. Psychosexual counselling decreases frequency of early postoperative sexual dysfunctions.