Long‐term outcomes following laparoscopic supracervical hysterectomy

M Lieng, Marit Lieng, Elisabeth Qvigstad, E Qvigstad, O Istre, Olav Istre, A Langebrekke, Anton Langebrekke, K Ballard
BJOG: An International Journal of Obstetrics & Gynaecology · 2008 · vol. 115(13) , pp. 1605–1610 · doi:10.1111/j.1471-0528.2008.01854.x · PMID:18752588 · W1991634895
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Laparoscopic supracervical hysterectomy resulted in reduced vaginal bleeding and pelvic pain for most patients, with 90% reporting satisfaction despite continued symptoms.

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Abstract

OBJECTIVE: Evaluation of long-term outcomes following laparoscopic supracervical hysterectomy (LSH). DESIGN: Retrospective postal questionnaire. SETTING: Norwegian university teaching hospital. POPULATION: A total of 315 consecutive patients. METHODS: A questionnaire sent to all patients who underwent a LSH during 2004 and 2005. MAIN OUTCOME MEASURES: Persistent vaginal bleeding and pelvic pain, patient acceptability of such symptoms and patient satisfaction following LSH. RESULTS: A total of 240 women (78%) completed the questionnaire. About 24% reported experiencing vaginal bleeding up to 3 years following their hysterectomy, although this was rated as minimal in 90% of cases, resulting in a mean bothersome score of 1.1 (SD 2.0) on a 10-point visual analogue scale (VAS). Women operated on by less experienced surgeons were more likely to report vaginal bleeding following surgery (P = 0.02). About 74% of women reported having menstrual pain prior to surgery, with a mean score of 6.8 (SD 2.1) (10-point VAS). Up to 3 years following surgery, 38% continued to experience menstrual pain, although this was significantly less intense with a mean score of 3.5 (SD 2.2) (P < 0.01). While all women reported a decrease in the amount of pain experienced following the hysterectomy, those having a hysterectomy because of endometriosis reported significantly higher levels of menstrual/cyclical pain after surgery compared with women who had a hysterectomy for other reasons (P < 0.01). Ninety per cent of women reported being satisfied with their surgery. CONCLUSION: Although vaginal bleeding and pelvic pain are frequently observed following LSH, these symptoms are significantly reduced and patient satisfaction is high.

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Outcome instruments

VAS-pain

Condition tags

mesh:D004412mesh:D004715mesh:D017699endometriosis

MeSH descriptors

Dysmenorrhea Hysterectomy Laparoscopy Patient Satisfaction Pelvic Pain Dysmenorrhea Endometriosis Endometriosis Female Humans Hysterectomy Laparoscopy Leiomyoma Leiomyoma Menstruation Middle Aged Norway Pelvic Pain Reoperation Retrospective Studies

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