A prospective study of the short-term outcomes of hysterectomy with and without oophorectomy.
OBJECTIVE
To determine the symptom profile and satisfaction rate for women undergoing hysterectomy with and without oophorectomy


METHODS
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.
Farquhar
C M
CM
Department of Obstetrics and Gynaecology, National Women's Hospital, The University of Auckland, New Zealand.
Sadler
L
L
Harvey
S
S
McDougall
J
J
Yazdi
G
G
Meuli
K
K
D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods* / Q000523:psychology; D015994:Incidence; D008875:Middle Aged; D009520:New Zealand; D010052:Ovariectomy / Q000379:methods* / Q000523:psychology; D010147:Pain Measurement; D010149:Postoperative Pain / Q000453:epidemiology*; D017060:Patient Satisfaction; D017699:Pelvic Pain / Q000453:epidemiology* / Q000503:physiopathology; D011184:Postoperative Period; D011336:Probability; D011446:Prospective Studies; D011788:Quality of Life; D012307:Risk Factors; D012494:Sampling Studies; D012725:Sexual Behavior; D018709:Statistics, Nonparametric; D016896:Treatment Outcome