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Female Pelvic Med Reconstr Surg. 2013 Mar-Apr;19(2):103-9. doi: 10.1097/SPV.0b013e31827d8667.

Attitudes toward hysterectomy in women undergoing evaluation for uterovaginal prolapse.

Author information

1
Cleveland Clinic, Cleveland, OH, USA. africk76@gmail.com

Abstract

OBJECTIVES:

To investigate attitudes toward hysterectomy in women seeking care for pelvic organ prolapse.

METHODS:

Two hundred twenty women referred for evaluation of prolapse without evidence of previous hysterectomy were surveyed with the Pelvic Organ Prolapse Distress Inventory; the Control Preferences Scale; and questions regarding patients' perception of the impact of hysterectomy on health, social life, and emotional well-being. Additional items presented hypothetical scenarios. Surveys were distributed in small batches until 100 responses were obtained from patients who met inclusion criteria.

RESULTS:

One hundred women with an intact uterus responded. Sixty percent indicated they would decline hysterectomy if presented with an equally efficacious alternative to a hysterectomy-based prolapse repair. The doctor's opinion, risk of surgical complications, and risk of malignancy were the most important factors in surgical decision making.

CONCLUSIONS:

Many women with prolapse prefer to retain their uterus at the time of surgery in the absence of a substantial benefit to hysterectomy. These findings should provide further impetus to investigate the efficacy of uterine-sparing procedures to help women make informed decisions regarding prolapse surgery.

PMID:
23442508
DOI:
10.1097/SPV.0b013e31827d8667
[Indexed for MEDLINE]

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