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

University Hospital, Linkoeping200 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

200

Conditions

Hysterectomy

Interventions

Total abdominal hysterectomyPROCEDURE

Total abdominal hysterectomy

Subtotal abdominal hysterectomyPROCEDURE

Subtotal abdominal hysterectomy

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (7)

Höglandssjukhuset i Eksjö

Eksjö, Sweden

Ryhov Central Hospital

Jönköping, Sweden

County Hospital in Kalmar

Kalmar, Sweden

Motala Counbty Hospital

Motala, Sweden

Outcomes

Primary Outcomes

Psychological well-being

Time frame: One year after surgery

Secondary Outcomes

Recovery of general well-being

Time frame: Five weeks after surgery

Sexuality

Time frame: One year

Pelvic organ prolapse (anatomical)

Follow-up median eleven years after the initial hysterectomy. Clinical investigation including POP-Q.

Time frame: 7-14 years

Patient reported symptoms of pelvic organ dysfunction

Follow-up median eleven years after the initial hysterectomy. Questionnaire (Pelvic Floor Dysfuntion Inventoy).

Time frame: 7-14 years

Data from ClinicalTrials.gov

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