A prospective study of outcomes five years after hysterectomy in premenopausal women.
OBJECTIVE
To prospectively collect data five years after hysterectomy and compare with data of women who had not undergone hysterectomy.


METHODS
A prospective cohort study of five years of premenopausal women with and with out hysterectomy was undertaken. Multivariate analytical methods were used to control for differences between groups.


RESULTS
Comparing the prehysterectomy and five years post-hysterectomy data, pelvic pain, abdominal pain, urinary frequency and depression scores were reduced five years following hysterectomy. Women in the non-hysterectomy group were more likely to describe their health as good or very good (74%) than women in the hysterectomy group (56%) (P=0.03).


CONCLUSIONS
The long-term health of women who undergo hysterectomy is not noticeably different from a group of women who do not undergo hysterectomy. In women undergoing hysterectomy, pelvic pain, urinary frequency and depression scores are reduced five years after hysterectomy compared to prehysterectomy.
Farquhar
Cynthia Margaret
CM
Department of Obstetrics and Gynaecology, School of Medicine, University of Auckland, Auckland, New Zealand. c.farquhar@auckland.ac.nz
Sadler
Lynn
L
Stewart
Alistair W
AW
D000328:Adult; D016022:Case-Control Studies; D015331:Cohort Studies; D003863:Depression / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006304:Health Status; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods / Q000523:psychology*; D008875:Middle Aged; D015999:Multivariate Analysis; D017060:Patient Satisfaction; D017699:Pelvic Pain / Q000453:epidemiology; D017697:Premenopause; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014554:Urination / Q000502:physiology