Premium
A prospective study of the short‐term outcomes of hysterectomy with and without oophorectomy
Author(s) -
Farquhar CM,
Sadler L,
Harvey S,
McDougall J,
Yazdi G,
Meuli K
Publication year - 2002
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.0004-8666.2002.00197.x
Subject(s) - medicine , hysterectomy , oophorectomy , constipation , depression (economics) , pelvic pain , fertility , patient satisfaction , endometriosis , sexual function , abdominal hysterectomy , prospective cohort study , obstetrics , surgery , gynecology , population , environmental health , economics , macroeconomics
Objective To determine the symptom profile and satisfaction rate for women undergoing hysterectomy with and without oophorectomy. Study design Women under 46 years of age who underwent hysterectomy with (n = 266) and without oophorectomy (n = 57) were followed for six months. Results Satisfaction was high at six months. In‐hospital complication rates were 28% in Group 1 and 39% in Group 2 (p = 0.11). Pelvic pain was reported in more than half the women at six weeks. A reduction in constipation, diarrhoea, abdominal and pelvic pain, and depression was reported at six months. Quality of sexual function in women did not improve. New symptoms of pelvic pain or depression were present at six months in more than 16% to 37% of the women. Regrets about loss of fertility were increased at six months. Conclusions Although levels of satisfaction with the procedure of hysterectomy were high, new symptoms and regrets about the loss of fertility were commonly reported.