title: Attitudes toward hysterectomy in women undergoing evaluation for uterovaginal prolapse.
abstract: OBJECTIVE
  To investigate attitudes toward hysterectomy in women seeking care for pelvic organ prolapse.
  
  
  METHODS
  Two hundred twenty women referred for evaluation of prolapse without evidence of previous hysterectomy were surveyed with the Pelvic Organ Prolapse Distress Inventory; the Control Preferences Scale; and questions regarding patients' perception of the impact of hysterectomy on health, social life, and emotional well-being. Additional items presented hypothetical scenarios. Surveys were distributed in small batches until 100 responses were obtained from patients who met inclusion criteria.
  
  
  RESULTS
  One hundred women with an intact uterus responded. Sixty percent indicated they would decline hysterectomy if presented with an equally efficacious alternative to a hysterectomy-based prolapse repair. The doctor's opinion, risk of surgical complications, and risk of malignancy were the most important factors in surgical decision making.
  
  
  CONCLUSIONS
  Many women with prolapse prefer to retain their uterus at the time of surgery in the absence of a substantial benefit to hysterectomy. These findings should provide further impetus to investigate the efficacy of uterine-sparing procedures to help women make informed decisions regarding prolapse surgery.
authors: Cleveland Clinic, Cleveland, OH, USA. africk76@gmail.com
authors: Anna C
authors: AC
authors: Frick
authors: Matthew D
authors: MD
authors: Barber
authors: Marie Fidela R
authors: MF
authors: Paraiso
authors: Beri
authors: B
authors: Ridgeway
authors: John Eric
authors: JE
authors: Jelovsek
authors: Mark D
authors: MD
authors: Walters
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003657:Decision Making; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000523:psychology*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000175:diagnosis* / Q000523:psychology / Q000601:surgery