Health-Related Quality of Life After Hysterectomy

Michelle J. Naughton, Wendy L. McBee
In: Clinical Obstetrics and Gynecology · 1997 · vol. 40(4) , pp. 947–957 · doi:10.1097/00003081-199712000-00030 · PMID:9429808 · W2329353607
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This paper reviews published research on the effects of hysterectomy on patients' health-related quality of life using validated instruments.

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This article provides an overview of health-related quality of life following hysterectomy, a procedure frequently performed for benign conditions such as leiomyomas and chronic pelvic pain. The authors review published research to evaluate how this surgery impacts patients' daily lives, noting that previous assessments often lacked systematic validation. They highlight concerns regarding negative postoperative outcomes, including persistent pelvic pain, sexual dysfunction, and psychological distress, which complicate the debate on the appropriateness of hysterectomy for nonmalignant diseases. Relevance to endometriosis: listed as one of the primary indications for hysterectomy, though the paper's main focus is a broad review of quality of life outcomes across various uterine conditions rather than disease-specific mechanisms.

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Abstract

Hysterectomy is the second most common major surgical procedure performed in the United States each year.1 The primary indications for hysterectomy are leiomyomas, unexplained uterine bleeding, uterine prolapse, chronic pelvic pain, and endometriosis. Cancerous conditions account for only 10% of all hysterectomies performed. The appropriateness of hysterectomy to treat nonmalignant conditions has been debated increasingly in recent years. This is, in part, because of rising health care costs and reports of negative outcomes after hysterectomy, such as pelvic pain, reduced sexual functioning, urinary symptoms, and psychological distress. The effects of hysterectomy on patients' health-related quality of life are important factors in the management of uterine-related conditions. Knowing what aspects may and may not be alleviated by hysterectomy for particular patient groups can assist in clinical decision making about treatment options. Assessments of the effects of hysterectomy on quality of life, however, have not always been conducted systematically with validated instruments. The purpose of this article is to provide a brief overview of the assessment of health-related quality of life and to review the published research on the effects of hysterectomy on the daily lives of hysterectomized patients.
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Health-Related Quality of Life After Hysterectomy - MICHELLE J. NAUGHTON - WENDY L. MCBEE Hysterectomy is the second most common major surgical procedure performed in the United States each year. The primary indications for hysterectomy are leiomyomas, unexplained uterine bleeding, uterine prolapse, chronic pelvic pain, and endometriosis. Cancerous conditions account for only 10% of all hysterectomies performed. The appropriateness of hysterectomy to treat nonmalignant conditions has been debated increasingly in recent years. This is, in part, because of rising health care costs and reports of negative outcomes after hysterectomy, such as pelvic pain, reduced sexual functioning, urinary symptoms, and psychological distress. The effects of hysterectomy on patients' health-related quality of life are important factors in the management of uterine-related conditions. Knowing what aspects may and may not be alleviated by hysterectomy for particular patient groups can assist in clinical decision making about treatment options. Assessments of the effects of hysterectomy on quality of life, however, have not always been conducted systematically with validated instruments. The purpose of this article is to provide a brief overview of the assessment of health-related quality of life and to review the published research on the effects of hysterectomy on the daily lives of hysterectomized patients.

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Condition tags

endometriosischronic_pelvic_pain

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