Hysterectomy
Conditions
Keywords
Total hysterectomy, subtotal hysterectomy, urinary function, bowel function, sexual function, Quality of life, Psychological function
Brief summary
Background It is uncertain whether subtotal abdominal hysterectomy results in better bladder, bowel, or sexual function than total abdominal hysterectomy. Methods The investigators conducted a randomized, double-blind trial comparing total and subtotal abdominal hysterectomy in 279 women referred for hysterectomy because of benign disease; most of the women were premenopausal. The main outcomes were measures of bladder, bowel, and sexual function at 12 months. The investigators also evaluated postoperative complications.
Interventions
PROCEDURETotal abdominal hysterectomy
Total abdominal hysterectomy and Subtotal abdominal hysterectomy
PROCEDURESubtotal abdominal hysterectomy
Sponsors
St George's Healthcare NHS Trust
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Women having abdominal hysterectomy for benign conditions of the uterus
Exclusion criteria
* Suspected cancer * A body weight that exceeded 100 kg * Previous pelvic surgery * Known endometriosis * Abnormal cervical smears, * Symptomatic uterine prolapse * Symptomatic urinary incontinence
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main outcome measure was stress incontinence | Completed |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life | Completed |
Countries
United Kingdom
Outcome results
None listed