title: Pain reduction after total laparoscopic hysterectomy and laparoscopic supracervical hysterectomy among women with dysmenorrhoea: a randomised controlled trial.
abstract: OBJECTIVE
  To evaluate the effectiveness of total laparoscopic hysterectomy compared with laparoscopic supracervical hysterectomy for alleviating dysmenorrhoea.
  
  
  METHODS
  Randomised blinded controlled trial.
  
  
  METHODS
  Norwegian university teaching hospital.
  
  
  METHODS
  Sixty-two women with dysmenorrhoea.
  
  
  METHODS
  Participants randomised to either total laparoscopic hysterectomy (n = 31) or laparoscopic supracervical hysterectomy (n = 31).
  
  
  METHODS
  The primary outcome measure, measured 12 months after intervention, was reduction of cyclic pelvic pain (visual analogue scale, 0-10). Secondary outcome measures included patient satisfaction (visual analogue scale, 0-10) and quality of life (Short Form 36, 0-100).
  
  
  RESULTS
  The groups were comparable at baseline. There was no difference in self-reported dysmenorrhoea at 12 months (mean 0.8 [SD 1.6] versus 0.8 [SD 2.0], P = 0.94). There was no difference in patient satisfaction (mean 9.3 [SD 1.5] versus 9.1 [SD 1.2], P = 0.66) or quality of life (mean 81.6 [SD 17.8] versus 80.2 [SD 18.0], P = 0.69).
  
  
  CONCLUSIONS
  Improvement in dysmenorrhoea and quality of life as well as patient satisfaction were comparable in the medium term when comparing total laparoscopic hysterectomy with laparoscopic supracervical hysterectomy.
authors.affiliation: Department of Gynaecology, Oslo University Hospital, Oslo, Norway.
authors.forename: E
authors.initials: E
authors.lastname: Berner
authors.affiliation: Department of Gynaecology, Oslo University Hospital, Oslo, Norway.|Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
authors.forename: E
authors.initials: E
authors.lastname: Qvigstad
authors.affiliation: Department of Pathology, Oslo University Hospital, Oslo, Norway.
authors.forename: A K
authors.initials: AK
authors.lastname: Myrvold
authors.affiliation: Department of Gynaecology, Oslo University Hospital, Oslo, Norway.|Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
authors.forename: M
authors.initials: M
authors.lastname: Lieng
mesh_terms: D000328:Adult; D004412:Dysmenorrhea / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy; D008875:Middle Aged; D017060:Patient Satisfaction; D017699:Pelvic Pain / Q000601:surgery*; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Cervical stump symptoms; cyclic pelvic pain; dysmenorrhoea; laparoscopic hysterectomy; laparoscopic supracervical hysterectomy; patient satisfaction; pelvic pain; quality of life; randomised controlled trial; total laparoscopic hysterectomy