In this trial 2 groups of transmen who are getting a hysterectomy will be compared: inpatient vs outpatient.
In this trial transmen who consultate for a hysterectomy are randomised over 2 groups: inpatient vs outpatient. In the inpatient group the participant stays 1 night in the hospital after the laparoscopic hysterectomy. The outpatient group can leave the hospital the day of the operation. Standard care after laparoscopic hysterectomy is 2 nights hospital stay. Through this trial the investigators would like to answer following questions: * Is hysterectomy in dayclinic as safe as a hysterectomy in an outpatient setting? * Is there a higher complication/re-admission rate with hysterectomy in outpatient setting? * Are patients as satisfied with the length of hospital stay in an inpatient hysterectomy? * Is the need for pain medication higher in the inpatient group? Do this patients experience more postoperative pain? * Is there a loss in 'quality of life' with hysterectomy in inpatient setting? * Are patients who have the hysterectomy in dayclinic more anxious/worried? The primary objective is the satisfaction of the patient with the length of hospital stay. The other indicators will be seen as secondary outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
104
Discharge on the day of the hysterectomy
1 night hospital stay after hysterectomy
University Hospital Ghent
Ghent, Belgium
Satisfaction with the length of hospital stay after 1 week assessed by the VAS (visual analogue scale)
Satisfaction of the patient with the length of hospital stay 1 week after surgery assessed by a Visual Analogue Scale ranging from 0 to 100 (with 100 being extremely satisfied)
Time frame: Day 7
Satisfaction with the length of hospital stay after 6 weeks assessed by the VAS (visual analogue scale)
Satisfaction of the patient with the length of hospital stay 6 weeks after surgery assessed by a Visual Analogue Scale ranging from 0 to 100 (with 100 being extremely satisfied)
Time frame: Day 42
Pain scores
Pain will be measured by using a Visual Analogue Scale for pain ranging from 0 to 10 (with 10 being the worst pain ever)
Time frame: Day 0 to 7
Analgesics use
The amount of analgesics used every day
Time frame: Day 0 to 7
Type and number of intra-operative complications
Time frame: Day 0
Type and number of postoperative complications
Time frame: Day 42
Readmission rate
Time frame: Day 42
Postoperative quality of recovery (QoR)-15 score
The QoR-15 is a patient-reported outcome questionnaire that measures the quality of recovery after surgery and anaesthesia. Each question is scored from 0 (= "none of the time") to 10 (= "all of the time") for positive items; for negative items the scoring is reversed (maximum score 150).
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Day 1, day 2 and day 42
Postoperative wellbeing through the Hospital Anxiety and Depression Scale (HADS)
Postoperative wellbeing will be assessed by using the HADS. The HADS is a 14-question instrument that measures anxiety and depression. Each question is scored between 0 (no impairment) and 3 (severe impairment), with a maximum score of 21 for anxiety or depression.
Time frame: Day 1, day 2 and day 42