A prospective study of the short-term outcomes of hysterectomy with and without oophorectomy

C M Farquhar, Cindy Farquhar, L Sadler, Lynn Sadler, S Harvey, Sally A. Harvey, J McDougall, G Yazdi, Golnaz Eftekhari Yazdi, K. Meuli
The Australian & New Zealand journal of obstetrics & gynaecology · 2002 · vol. 42(2) , pp. 197–204 · doi:10.1111/j.0004-8666.2002.00197.x · PMID:12069150 · W2148456179
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This prospective study followed women undergoing hysterectomy with and without oophorectomy for six months, finding high satisfaction despite common new symptoms like pelvic pain or depression and regrets about fertility loss.

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Abstract

OBJECTIVE: To determine the symptom profile and satisfaction rate for women undergoing hysterectomy with and without oophorectomy STUDY DESIGN: 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.

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MeSH descriptors

Hysterectomy Ovariectomy Pelvic Pain Postoperative Pain Quality of Life Adaptation, Physiological Adaptation, Psychological Adult Female Follow-Up Studies Humans Hysterectomy Hysterectomy Incidence Middle Aged New Zealand Ovariectomy Ovariectomy Pain Measurement Patient Satisfaction

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