A Study of the Profile of Hysterectomy Acceptors in Rural Bangalore

Introduction: Uterus, a vital reproductive organ is subjected to many benign and malignant diseases. Many treatment options are available including medical, conservative and surgical approach, but still hysterectomy remains the most common gynecological procedure performed worldwide Objectives: 1. To describe the profile of hysterectomy cases 2. To evaluate the various indications of hysterectomy 3. To evaluate the various pathological findings Methodology: Study was conducted in M.V.J medical college and research hospital, Bangalore rural using a predesigned and structured questionnaire. Patients in the Gynecological wards who have undergone Hysterectomy from the period 2010 January to 2011 June were the study subjects. Results: A total of 293 subjects were interviewed, findings are as follows, mean age of hysterectomy cases is 44 ± 9.9, majority of the cases were in the age group 35-45 years. Common indications of hysterectomy are Uterine prolapse (36%), fibroid (21%), dysfunctional uterine bleeding (17%). Significant pathological findings are Cervicitis(52%), Leiomyoma(12%), Adenomyosis(9%). Information about risk factors for cervical cancer revealed the following. Mean parity is 3, Regular Pap smear test was done in only 1.3% of the cases, none of them were aware about HPV vaccination. None of them reported about multiple sexual partners and STDs. About 1.7% of the study subjects reported that their partners had undergone circumscion, OCP usage for more than 8 yrs was seen in 6.1% of the cases. Poor birth spacing was seen in 33%, poor personal hygiene was reported in 37% of the cases. Conclusion: As 52% of the study subjects reported cervical inflammation as the pathology findings. Regular cervical cancer screening programmes must be emphasized such as regular Pap smear test should be conducted in women of reproductive age group,