[Vaginal hysterectomy in nulliparous women: indications and limitations].
OBJECTIVE
The aim of our study was to determine whether nulliparity is a limiting factor for vaginal hysterectomy performed for benign lesions.


METHODS
We conducted a prospective study in 1604 patients who underwent hysterectomy for a benign lesion between 1991 and 1998. We studied a subgroup of this population constituted by 128 nulliparous women, i.e. 8% of the patients.


RESULTS
Vaginal hysterectomy was performed at first intention in 54.7% of the cases, after laparoscopic preparation in 14%, and by first intention laparotomy in 31.3% for each type of approach we compared: history of pelvic surgery, duration of the operation, final weight of the uterus, peroperative complications, association or not with adnexectomy in patients aged 45 years or older, frequency of a reduction procedure in the vaginal group and duration of hospitalization.


CONCLUSIONS
Nulliparity is not a contraindication for vaginal hysterectomy which can be proposed as a first intention procedure, sometimes in association with laparoscopic preparation in case of prior pelvic surgery or concomitant adnexal disorders.
Lambaudie
E
E
Pôle de Chirurgie Gynécologique, Hôpital Jeanne-de-Flandre, CHRU de Lille, place de Verdun, 59000 Lille, France.
Occelli
B
B
Boukerrou
M
M
Crépin
G
G
Cosson
M
M
D000075202:Contraindications; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D007431:Intraoperative Complications; D007902:Length of Stay; D008875:Middle Aged; D010298:Parity; D011446:Prospective Studies; D013997:Time Factors