Qualite De Vie Et Vcu De La Maladie, Avant Et Apres Hystrectomie Vaginale, Chez Les Femmes Admises Au Centre Hospitalier Universitaire De Brazzaville
Introduction: The disease is a trouble that must be eradicated; vaginal hysterectomy is beneficial to patients for this purpose but can also have a detrimental impact on the quality of life of women. Objective: To explore the impact of the disease on the quality of life before vaginal hysterectomy (VH) of women before and after surgery. Methods: This is a qualitative study, with clinical method during a 12-month period which involved women who underwent vaginal hysterectomy. Women who didn’t consent to participate and had no phone contact were not included. Results: During illness, women’s experience was: sexual discomfort 26/40 (65%); genital bleeding 12/40 (30%); 13/40 pelvic pain (32.5%) After surgery, we noted transient dyspareunia 30/40 (75%); secondary headache due to anesthesia 4/40 (10%). The psychological experience before HV, has been dominated by the fear of surgery in all patients, sleep disorders38/40(95%), anxiety 30/40 (75%), shame and difficulty with the sexual intercourse because of prolapsed 26/40 (65%) even impossibility because of the genital bleeding 14/40(35%). The loss of femininity was reported by 26/40 women with uterine prolapsed (65%), the modification of selfesteem 26/40 (65%). If these items have been improved with the HV, by cons, they all lost the reproductive organ. No information was given by women to their families and members of the company prior to surgery. The cessation of symptoms was observed in all cases, although we noted one case of rectal injury (1.25%). as for sexual activity, all couples declared their satisfaction after therapy. Conclusion: The experience of the disease and the tragic perception of vaginal hysterectomy before, were improved significantly after surgery.
