RESUMO
Resumen OBJETIVO: Determinar la frecuencia de disfunción sexual en pacientes con diagnóstico de lesión intraepitelial tratadas con cono cervical. MATERIALES Y MÉTODOS: Estudio longitudinal, observacional, descriptivo y prospectivo al se incluyeron mujeres con vida sexual activa, con diagnóstico por biopsia de lesión cervical intraepitelial de alto grado a quienes se aplicó la técnica de cono con asa electroquirúrgica y un cuestionario para evaluar la función sexual antes y 12 semanas posteriores al procedimiento. Para determinar si la paciente tuvo disfunción sexual se utilizó el índice de función sexual femenina con un punto de corte de 26.5 puntos o menor. RESULTADOS: Se estudiaron 31 pacientes con edad promedio de 44 años DE ± 9 con límites de 29 y 58 años. Diez pacientes con hábito tabáquico e igual cantidad en las mujeres en menopausia. Dos con hipertensión y tres con diabetes. Se observó mayor frecuencia estadísticamente significativa p = 0.046 de disfunción sexual posterior a la intervención. El factor de deseo fue menor antes de la intervención p = 0.023. El deseo y excitación fueron menores luego de la intervención; sin embargo, no hubo una diferencia estadísticamente significativa p = 0.077. En el resto de los factores no se observó una tendencia entre ellos. CONCLUSIONES: El cono cervical con asa electroquirúrgica, como opción de tratamiento de pacientes con lesión intraepitelial de alto grado cervical, se asocia con porcentajes más altos de disfunción sexual tres meses posteriores al procedimiento. Los dominios de la función sexual más afectados fueron el deseo y la excitación.
Abstract OBJECTIVE: To determine the frequency of sexual dysfunction in patients diagnosed with intraepithelial lesion treated with cervical cone. MATERIALS AND METHODS: A longitudinal, observational, descriptive, and prospective study included women with an active sexual life diagnosed by biopsy of high-grade cervical intraepithelial lesion who underwent the cone technique with an electrosurgical loop and a questionnaire to assess sexual function before and 12 weeks after the procedure. The Female Sexual Function Index with a cut-off of 26.5 points or less was used to determine whether the patient had sexual dysfunction. RESULTS: Thirty-one patients were examined with a mean age of 44 years SD ± 9 with cut-offs of 29 and 58 years. Ten patients were smokers, and the same number were menopausal. Two with hypertension and three with diabetes. A statistically significant p = 0.046 higher frequency of sexual dysfunction was observed after the intervention. The desire factor was lower before the intervention p = 0.023. Desire and arousal were lower after the intervention, but there was no statistically significant difference p = 0.077. There was no trend between the remaining factors. CONCLUSIONS: Cervical cone with electrosurgical loop, as a treatment option for patients with cervical high-grade intraepithelial lesion, is associated with a higher percentage of sexual dysfunction three months after the procedure. The domains of sexual function most affected were desire and arousal.
RESUMO
We present a case report of a patient that went to consultation for tumoración presence at level vulvar of a year of evolution, with size of 8 x 6 cm, accompanied by pain with the deambulación and manipulation, the out taking of tumoración biopsy, later on resection by means of vulvectomia simple left and the result anatomohistopatológico was corroborated that reported hemangioma fibrous esclerosante. The treatment and the evolution was favorable. You analyzes the case and their such complications as: infection of surgical wound and dehiscencia. Bibliography related with the topic was revised.