Hysterectomy

- Frontmatter - Contents - List of contributors - Preface - Psychology, health and illness - Medical topics - Abortion - Accidents and unintentional injuries - Acne - Alcohol abuse - Allergies to drugs - Allergies to food - Allergies: general - Amnesia - Amputation and phantom limb pain - Anaesthesia and psychology - Antenatal care - Aphasia recovery, treatment and psychosocial adjustment - Asthma - Back pain - Blindness and visual disability - Blood donation - Breastfeeding - Burn injuries: psychological and social aspects - Cancer: breast - Cancers of the digestive tract - Cancer: general - Cancer: gynaecologic - Cancer: head and neck - Cancer: Hodgkin's and non-Hodgkin's lymphoma - Cancer: leukaemia - Cancer: lung - Cancer: prostate - Cancer: skin - Carotid artery disease and treatment - Chemotherapy - Child abuse and neglect - Chromosomal abnormalities - Chronic fatigue syndrome - Chronic obstructive pulmonary disease (COPD): chronic bronchitis and emphysema - Cleft lip and palate - Cold, common - Complementary medicine - Contraception - Coronary heart disease: impact - Coronary heart disease: cardiac psychology - Coronary heart disease: heart failure - Coronary heart disease: rehabilitation - Coronary heart disease: surgery - Cystic fibrosis - Acquired hearing loss - Dementias - Diabetes mellitus - Domestic violence, intimate partner violence and wife battering - Drug dependency: benzodiazepines - Drug dependence: opiates and stimulants - Drugs: beta-blockers - Drugs: psychotropic medication - Dyslexia - Eating disorders - Eczema - Endocrine disorders - Enuresis - Epilepsy - Epstein–Barr virus infection - Facial disfigurement and dysmorphology - Fetal wellbeing: monitoring and assessment - Gastric and duodenal ulcers - Growth retardation - Haemophilia - Head injury - Headache and migraine - Herpes - HIV/AIDS - Hormone replacement therapy - Hospital acquired infection - Huntington's disease - Hyperactivity - Hypertension - Hyperthyroidism - Hyperventilation - Hysterectomy - Immunization - Incontinence - Infertility - Inflammatory bowel disease - Intensive care unit - Intimate examinations - Irritable bowel syndrome - Lymphoedema - Malaria - Mastalgia (breast pain) - Meningitis - Menopause and postmenopause - MMR vaccine - Motor neurone disease - Multiple sclerosis - Myasthenia gravis - Neurofibromatosis - Non-cardiac chest pain - Obesity - Oral care and hygiene - Osteoarthritis - Osteoporosis - Parkinson's disease - Pelvic pain - Post-traumatic stress disorder - Postnatal depression - Pregnancy and childbirth - Premature babies - Premenstrual syndrome - Psoriasis - Radiotherapy - Rape and sexual assault - Reconstructive and cosmetic surgery - Renal failure, dialysis and transplantation - Repetitive strain injury - Rheumatoid arthritis - Road traffic accidents: human factors - Screening: antenatal - Screening: cancer - Screening: cardiac - Screening: genetic - Self-examination: breasts, testicles - Sexual dysfunction - Sexually transmitted infections - Sickle cell disease - Skin disorders - Sleep apnoea - Sleep disorders - Spina bifida - Spinal cord injury - Sterilization and vasectomy - Stroke - Stuttering - Suicide - Tinnitus - Tobacco use - Toxins: environmental - Transplantation - Urinary tract symptoms - Vertigo and dizziness - Vision disorders - Voice disorders - Volatile substance abuse - Vomiting and nausea - Index - References from Medical topics Published online by Cambridge University Press: 18 December 2014 Book contents - Frontmatter - Contents - List of contributors - Preface - Psychology, health and illness - Medical topics - Abortion - Accidents and unintentional injuries - Acne - Alcohol abuse - Allergies to drugs - Allergies to food - Allergies: general - Amnesia - Amputation and phantom limb pain - Anaesthesia and psychology - Antenatal care - Aphasia recovery, treatment and psychosocial adjustment - Asthma - Back pain - Blindness and visual disability - Blood donation - Breastfeeding - Burn injuries: psychological and social aspects - Cancer: breast - Cancers of the digestive tract - Cancer: general - Cancer: gynaecologic - Cancer: head and neck - Cancer: Hodgkin's and non-Hodgkin's lymphoma - Cancer: leukaemia - Cancer: lung - Cancer: prostate - Cancer: skin - Carotid artery disease and treatment - Chemotherapy - Child abuse and neglect - Chromosomal abnormalities - Chronic fatigue syndrome - Chronic obstructive pulmonary disease (COPD): chronic bronchitis and emphysema - Cleft lip and palate - Cold, common - Complementary medicine - Contraception - Coronary heart disease: impact - Coronary heart disease: cardiac psychology - Coronary heart disease: heart failure - Coronary heart disease: rehabilitation - Coronary heart disease: surgery - Cystic fibrosis - Acquired hearing loss - Dementias - Diabetes mellitus - Domestic violence, intimate partner violence and wife battering - Drug dependency: benzodiazepines - Drug dependence: opiates and stimulants - Drugs: beta-blockers - Drugs: psychotropic medication - Dyslexia - Eating disorders - Eczema - Endocrine disorders - Enuresis - Epilepsy - Epstein–Barr virus infection - Facial disfigurement and dysmorphology - Fetal wellbeing: monitoring and assessment - Gastric and duodenal ulcers - Growth retardation - Haemophilia - Head injury - Headache and migraine - Herpes - HIV/AIDS - Hormone replacement therapy - Hospital acquired infection - Huntington's disease - Hyperactivity - Hypertension - Hyperthyroidism - Hyperventilation - Hysterectomy - Immunization - Incontinence - Infertility - Inflammatory bowel disease - Intensive care unit - Intimate examinations - Irritable bowel syndrome - Lymphoedema - Malaria - Mastalgia (breast pain) - Meningitis - Menopause and postmenopause - MMR vaccine - Motor neurone disease - Multiple sclerosis - Myasthenia gravis - Neurofibromatosis - Non-cardiac chest pain - Obesity - Oral care and hygiene - Osteoarthritis - Osteoporosis - Parkinson's disease - Pelvic pain - Post-traumatic stress disorder - Postnatal depression - Pregnancy and childbirth - Premature babies - Premenstrual syndrome - Psoriasis - Radiotherapy - Rape and sexual assault - Reconstructive and cosmetic surgery - Renal failure, dialysis and transplantation - Repetitive strain injury - Rheumatoid arthritis - Road traffic accidents: human factors - Screening: antenatal - Screening: cancer - Screening: cardiac - Screening: genetic - Self-examination: breasts, testicles - Sexual dysfunction - Sexually transmitted infections - Sickle cell disease - Skin disorders - Sleep apnoea - Sleep disorders - Spina bifida - Spinal cord injury - Sterilization and vasectomy - Stroke - Stuttering - Suicide - Tinnitus - Tobacco use - Toxins: environmental - Transplantation - Urinary tract symptoms - Vertigo and dizziness - Vision disorders - Voice disorders - Volatile substance abuse - Vomiting and nausea - Index - References Introduction Hysterectomy is the most common major gynaecological operation in the UK and the USA. Prevalence rates vary in different countries and range from 8% in France, 10% in the UK and 22% in Australia to approximately one-third of women in the Netherlands and the USA. Hysterectomies are usually carried out for benign conditions, such as abnormal menstrual bleeding, fibroids and endometriosis and are therefore elective operations. In the USA, for example, approximately 90% of hysterectomies are elective operations. However, approximately 10% of hysterectomies are carried out for malignant conditions such as cancer of the cervix or uterus (see ‘Cancer: gynaecological’). There are three main types of hysterectomy: a subtotal hysterectomy, in which only the uterus is removed; a total hysterectomy, in which both the uterus and the cervix are removed; and a radical hysterectomy, in which the uterus, cervix, surrounding tissue, upper vagina and sometimes the pelvic lymph nodes are removed. Radical hysterectomies are usually only done in extreme circumstances such as cancer of the uterus or cervix. In addition, some women will have their fallopian tubes and ovaries removed at the same time, which initiates menopause. In these cases women have to decide about whether or not to use hormone replacement therapy (see ‘Hormone replacement therapy’). Currently, the most common hysterectomy carried out is the total hysterectomy, which is thought to be preferable for benign conditions because it avoids later complications with the cervix such as cervical cancer. - Type - Chapter - Information - Cambridge Handbook of Psychology, Health and Medicine , pp. 749 - 751Publisher: Cambridge University PressPrint publication year: 2007 2003). Distress about sex: a national survey of women in heterosexual relationships. Archives of Sexual Behavior, 23, 193–208.Google Scholar , & (1995). Hysterectomy and psychiatric disorder: are the levels of psychiatric morbidity falling?Psychological Medicine, 25, 277–83.Google Scholar , , et al. ( & ( 2004). Quality of life and sexual function after hysterectomy in women with preoperative pain and depression. Obstetrics and Gynecology, 104, 701–9.Google Scholar , , et al. (1984). The odds on hysterectomy and estimation of the number of cancer deaths prevented by hysterectomies in their current incidence. Ned Tijdschr Geneeskd, 128, 1937–40.Google Scholar (2002). Sexuality after hysterectomy. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 31, 256–62.Google Scholar (2000). The psychological outcome of hysterectomy. Gynecological Endocrinology, 14, 123–31.Google Scholar , & (Kincy, J. & McFarlane, T. (1984). Psychological aspects of hysterectomy. In & (Eds.). Psychology and gynaecological problems (pp. 142–60). London: Tavistock Publications. 1999). Sexual dysfunctions in the United States: prevalence and predictors. Journal of the American Medical Association, 281, 537–44.Google Scholar , & (2003). The effect of hysterectomy on sexual functioning. Annual Review of Sex Research, 14, 83–113.Google Scholar , & (1999). Effects of a brief and economical intervention in preparing patients for surgery: does coping style matter?Pain, 83, 471–5.Google Scholar & (1999). Hysterectomy and sexual functioning. Journal of the American Medical Association, 282, 1934–41.Google Scholar , , & ( ( 2002). Outcomes after total versus subtotal abdominal hysterectomy. New England Journal of Medicine, 347, 1318–25.Google Scholar , , , & (2004). Hysterectomy improves quality of life and decreases psychiatric symptoms: a prospective and randomised comparison of total versus subtotal hysterectomy. British Journal of Obstetrics & Gynaecology, 111, 1115–20.Google Scholar , , et al. (Accessibility compliance for the PDF of this chapter is currently unknown and may be updated in the future. 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