Are the physiologically and psychosocially based symptoms in women suffering from gynecological disorders alleviated by means of hysterectomy?
Women experiencing gynecological disorders can suffer from a diversity of symptoms and problems. To what extent women are relieved of their physiologically and psychosocially based symptoms by hysterectomy is an important issue. This study aims to evaluate the long-term impact of hysterectomy on such symptoms and to compare the findings with those of a control group. Women with gynecological disorders experienced physiologically based symptoms, such as pelvic pain and urinary incontinence, to a greater degree than did the control group (p < 0.05), whereas bowel function and menopausal symptoms were equally distributed in the two groups. Furthermore, these women experienced psychosocially based symptoms, such as fatigue and insomnia, to a greater degree than the control group (p < 0.05), whereas the groups did not differ in psychological well-being or sexual function. After hysterectomy, however, pelvic pain and sleeping disturbances were alleviated, and the state of energy and urinary function were improved (p < 0.00). Bowel function, menopausal symptoms, psychological well-being, sexual function, and self-perception as a woman were not influenced by the operation. Both 6 and 12 months after hysterectomy, no differences between the patients and the control group were found, except for the tendency of patients not to gain weight after the operation. The symptoms are mostly improved or unchanged after hysterectomy, and additional problems do not seem to follow the operation.
Rannestad
T
T
Department of Public Health and Primary Health Care, Division for Nursing Science, University of Bergen, Norway.
Eikeland
O J
OJ
Helland
H
H
Qvarnström
U
U
D016022:Case-Control Studies; D005260:Female; D005831:Genital Diseases, Female / Q000523:psychology* / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D009664:Norway; D010146:Pain; D011184:Postoperative Period; D011788:Quality of Life; D011795:Surveys and Questionnaires; D013577:Syndrome