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Female Pelvic Med Reconstr Surg. 2010 Jan;16(1):49-57.

Long-Term Outcomes of the Total or Supracervical Hysterectomy (TOSH) Trial.

Author information

  • 1Department of Obstetrics & Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.

Abstract

BACKGROUND:

Participants in the multi-center, randomized Total or Supracervical Hysterectomy (TOSH) trial showed within-group improvement in pelvic floor symptoms 2 years post-surgery and no differences between supracervical (SCH) versus total hysterectomy (TAH). This study describes longer term outcomes from the largest recruiting site.

STUDY DESIGN:

Questionnaires addressing pelvic symptoms, sexual function, and health-related quality of life were administered. Linear models and McNemar's test were utilized.

RESULTS:

Thirty-seven participants (69%) responded (19 TAH, 18 SCH); mean follow up was 9.1±0.7 years. No between-group differences emerged in urinary incontinence, voiding dysfunction, pelvic prolapse symptoms and overall health related quality of life (HRQOL). Within-group analysis showed significant improvement in the ability to have and enjoy sex (P = 0.002) and in the SF-36 physical component summary score (P = 0.03) among women randomized to TAH.

CONCLUSION:

9 years after surgery, TOSH participants continue to experience improvement and show no major between-group differences in lower urinary tract or pelvic floor symptoms conferring no major benefit of SCH over TAH.

PMID:
22229107
[PubMed]
PMCID:
PMC3252027
Free PMC Article
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