Sexuality Outcomes After Rectus Sheath Suspension of Vaginal Vault During Total Abdominal Hysterectomy

Sexual function following total abdominal hysterectomy (TAH) is an important concern for patients, particularly regarding the impact of rectus sheath suspension of the vaginal vault. Evaluating postoperative sexual function can provide insights into the benefits of this technique.AimThis study aimed to evaluate sexuality among patients who underwent rectus sheath suspension of the vaginal vault following TAH.MethodsA total of 60 patients aged 35–65 years were enrolled in this study at the Obstetrics and Gynecology Department of Al-Azhar University Hospitals, Damietta, from March 1, 2024, to March 1, 2025. Patients were divided into two groups: Group A (30 patients underwent TAH with rectus sheath suspension of the vaginal vault) and Group B (30 patients underwent TAH without rectus sheath suspension). Demographic data, indications for hysterectomy, operative blood loss, and postoperative sexual function were assessed. Sexual function was evaluated using the Female Sexual Function Index (FSFI), which includes domains of desire, arousal, lubrication, orgasm, satisfaction, and pain.ResultsThere were no significant differences between the two groups regarding demographic data, indications for hysterectomy, or intraoperative blood loss (p > 0.05). However, a significantly higher proportion of patients in Group A resumed sexual activity earlier than those in Group B (p < 0.05). Postoperatively, FSFI domain scores, including desire, arousal, lubrication, orgasm, satisfaction, and pain, were significantly higher in Group A compared to Group B (p < 0.05).ConclusionRectus sheath suspension of the vaginal vault following TAH improves postoperative sexual function, leading to higher FSFI scores and earlier resumption of sexual activity. This technique may enhance patient satisfaction and overall quality of life.