DOI: https://doi.org/10.36347/sasjm.2025.v11i07.004

Pages: 680-682

Introduction: Hysterectomy, a common gynecological procedure, may impact sexual function, with debates on whether total hysterectomy (TH) or subtotal hysterectomy (STH) yields better outcomes. Methods: A cross-sectional study was conducted at a Type 2 maternity hospital in Tunisia, involving 120 sexually active women (60 TH, 60 STH) who underwent hysterectomy for benign conditions between 2018–2023. Sexual function was assessed 12–24 months post-surgery using the Female Sexual Function Index (FSFI) and Arizona Sexual Experiences Scale (ASEX). Results: Both groups showed improved sexual function post-surgery (FSFI: TH 19.8 ± 4.2, STH 20.1 ± 4.0; ASEX: TH 20.9 ± 3.8, STH 20.7 ± 3.6), with no significant differences between TH and STH (p=0.72 for FSFI, p=0.89 for ASEX). Sexual dysfunction (FSFI 26.55) was prevalent in 58% of TH and 55% of STH patients. Conclusion: Hysterectomy improves sexual function regardless of type, with no advantage of STH over TH. Persistent sexual dysfunction highlights the need for postoperative counseling.