Clinical Follow up After Subtotal and Total Hysterectomy

Ultra Long-term Follow-up of the Outcome After Subtotal Versus Total Abdominal Hysterectomy

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02166749

Enrollment

212

Registered

2014-06-18

Start date

1997-03-31

Completion date

2011-12-31

Last updated

2014-06-30

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

Conditions

Abdominal Hysterectomy (& Wertheim)

Keywords

Hysterectomy, long term follow up, subjective outcome

Brief summary

The purpose of this study was to find out subjective and objective outcomes of patients undergoing subtotal or total abdominal hysterectomy during a follow up of a mean 33 years after the operation. The hypothesis is that there are similar outcomes after both types of operations.

Detailed description

Objective: To evaluate ultra long-term follow-up after subtotal and total hysterectomy in patients operated on during 1978-1979 in Turku University Hospital, Finland. Methods: From the original cohort of 212 patients 193 were sent a postal questionnaire in 1997 to find out possible symptoms related to hysterectomy. Again in 2011 a questionnaire based evaluation with a possibility of a clinical visit to study hospital was done for 153 patients. In the first evaluation a self-made questionnaire and in the second evaluation validated questionnaires were used. During a follow-up visit a clinical examination using also POP-Q-system was done. Additionally, hospital records of the patients were reviewed to find out subsequent operations after hysterectomy.

Interventions

PROCEDURESubtotal abdominal hysterectomy

Comparison of women undergoing subtotal abdominal hysterectomy (n=107) and women with total abdominal hysterectomy (n=105) a mean of 33 years ago.

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Healthy volunteers

Inclusion criteria

* benign indication for hysterectomy

Exclusion criteria

* abnormal Pap smear

Design outcomes

Primary

Measure	Time frame	Description
Number of participants having subjective symptoms after hysterectomy	19 years and 33 years postoperatively	Urinary and bowel symptoms assessed with questionnaires and Visual Analog Scale. Sexual symptoms assessed with questionnaire.

Secondary

Measure	Time frame	Description
Objective evaluation of pelvic organ prolapse after hysterectomy	33 years postoperatively	Gynecological examination and measurements using pelvic organ prolapse quantification system (POP-Q) to find out the number of participants having prolapse.

Countries

Finland

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 12, 2026