Comparing Radical and Simple Hysterectomy: Impact on Post-Operative Sexual Health

A recent international study led by researchers from the University of Toronto has provided new insights into the outcomes of simple versus radical hysterectomy procedures, particularly for individuals with early-stage, low-risk cervical cancer. The research emphasizes the importance of considering post-operative sexual health alongside traditional surgical outcomes.

The study focused on women with small tumors less than two centimeters and a low risk of cancer progression. Participants underwent either a simple hysterectomy, which involves removing the uterus and cervix, or a radical hysterectomy that additionally includes removal of part of the vagina, ligaments, and surrounding tissues.

Published in the Journal of Clinical Oncology, the research findings demonstrate that for low-risk patients, simple hysterectomy is just as effective as the more invasive radical procedure in terms of cancer control over a three-year follow-up period. Notably, patients who underwent radical hysterectomy experienced significantly worse bladder function and sexual vaginal health, with these issues persisting up to two years post-surgery.

Lead researcher Sarah Ferguson highlighted that the anticipation of differences in outcomes was minimal among surgeons, but the findings challenge the assumption that more extensive surgery is necessary for early-stage cancer. The study underscores the need for surgeons to counsel patients regarding potential sexual health implications when considering surgical options.

In addition to discussing urinary and sexual health, Ferguson advocates for post-surgical pelvic floor physiotherapy, which can help minimize bladder issues and scarring-related pain, facilitating better recovery and quality of life.

This research aims to redefine standards of care, promoting less invasive procedures when appropriate, and ensuring patients are fully informed of the possible impacts on their sexual health. As medical practices evolve, integrating such outcomes into decision-making will enhance patient-centered care.

Source: https://medicalxpress.com/news/2025-05-radical-simple-hysterectomy-sexual-health.html