Gynecologic Diseases
Conditions
Keywords
Hysterectomy, Laparoscopic
Brief summary
The purpose of this research study is to evaluate whether there is any difference in recovery time and return to normal activities following a laparoscopic supracervical hysterectomy (LSH) compared with total laparoscopic hysterectomy (TLH). Both types of hysterectomies are commonly performed at our institution. Patients will be assigned by chance (like a coin toss) to have either a LSH or a TLH. Preoperatively, participants will complete a quality of life questionnaire (SF-36), a sexual function questionnaire (FSFI)and a 3 question questionnaire about urinary function (3IQ). Following surgery participants will be asked to keep a diary of pain symptoms and use of narcotics. The diary will be filled out daily until patients have resumed normal activities from prior to the surgery. The SF-36 will be completed again 6 weeks following the original surgery. 6 months following surgery participants will receive a copy of the SF-36 and the FSFI in the mail. They will also be asked questions about urinary symptoms and persistent vaginal bleeding.
Interventions
Patients will be randomized to LSH (retaining the cervix) and TLH (cervix removal)
Patients will be randomized to either removal or retention of cervix
Sponsors
Study design
Eligibility
Inclusion criteria
* Candidates for laparoscopic hysterectomy for benign indications
Exclusion criteria
* Malignancy of the uterus, cervix or adnexa * pre-malignant changes of the uterus, cervix or adnexa * history of severe cervical dysplasia (CIN II or above)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Return to normal activities | 3-6 weeks after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Sexual function | 6 months after surgery |
Countries
United States