Psychological Well-being, Recovery and Sexuality After Total and Subtotal Hysterectomy

Subtotal Versus Total Abdominal Hysterectomy- a Prospective Randomised Comparison of Medical , Psychological and Sexual Effects.

Status

Completed

Phases

Phase 4

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00876057

Enrollment

200

Registered

2009-04-06

Start date

1998-03-31

Completion date

2005-04-30

Last updated

2012-06-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hysterectomy

Keywords

psychological well-being, recovery, time in hospital, sick-leave, complications, Sexual well-being

Brief summary

The purpose of this study is to determine whether psychological well-being, recovery and sexuality differs in women undergoing subtotal and total abdominal hysterectomy. Se also Detailed Description for additional study.

Detailed description

An additional study study based on the material in original study started in april 2011. The purpose of this study is to investigate the development of pelvis organ prolapse in the long term (median eleven years after hysterectomy and by questionnaires, Pelvic-floor Distress Inventory SF-20 analyze if patient reported symptoms regarding urinary-and bowels functions differs regarding the method of hysterectomy.

Interventions

PROCEDURESubtotal abdominal hysterectomy

Subtotal abdominal hysterectomy

PROCEDURETotal abdominal hysterectomy

Total abdominal hysterectomy

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Primarily uterine fibroids with bleeding disturbance or mechanical symptoms but other benign disorders were hysterectomy was recommended were also eligible * After surgery at least one ovary preserved. * Informed verbal and written consent * Proficiency in Swedish

Exclusion criteria

* Malignancy in the genital organs. * Previous or present cervical dysplasia. * Rapidly growing fibroids where malignancy could not be ruled out * Preoperative treatment with GnRH analogues. * Postmenopausal women without hormone therapy * Severe psychiatric disorder

Design outcomes

Primary

Measure	Time frame
Psychological well-being	One year after surgery

Secondary

Measure	Time frame	Description
Recovery of general well-being	Five weeks after surgery	—
Sexuality	One year	—
Pelvic organ prolapse (anatomical)	7-14 years	Follow-up median eleven years after the initial hysterectomy. Clinical investigation including POP-Q.
Patient reported symptoms of pelvic organ dysfunction	7-14 years	Follow-up median eleven years after the initial hysterectomy. Questionnaire (Pelvic Floor Dysfuntion Inventoy).

Countries

Sweden

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026