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.
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.
Study Type
OBSERVATIONAL
Enrollment
212
Comparison of women undergoing subtotal abdominal hysterectomy (n=107) and women with total abdominal hysterectomy (n=105) a mean of 33 years ago.
Department of Obstetrics and Gynecology, Turku University Hospital
Turku, Finland
Number of participants having subjective symptoms after hysterectomy
Urinary and bowel symptoms assessed with questionnaires and Visual Analog Scale. Sexual symptoms assessed with questionnaire.
Time frame: 19 years and 33 years postoperatively
Objective evaluation of pelvic organ prolapse after hysterectomy
Gynecological examination and measurements using pelvic organ prolapse quantification system (POP-Q) to find out the number of participants having prolapse.
Time frame: 33 years postoperatively
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