Attitudes toward hysterectomy in women undergoing evaluation for uterovaginal prolapse.
Journal Article
OBJECTIVES: To investigate attitudes toward hysterectomy in women seeking care for pelvic organ prolapse. METHODS: Two hundred twenty women referred for evaluation of prolapse without evidence of previous hysterectomy were surveyed with the Pelvic Organ Prolapse Distress Inventory; the Control Preferences Scale; and questions regarding patients' perception of the impact of hysterectomy on health, social life, and emotional well-being. Additional items presented hypothetical scenarios. Surveys were distributed in small batches until 100 responses were obtained from patients who met inclusion criteria. RESULTS: One hundred women with an intact uterus responded. Sixty percent indicated they would decline hysterectomy if presented with an equally efficacious alternative to a hysterectomy-based prolapse repair. The doctor's opinion, risk of surgical complications, and risk of malignancy were the most important factors in surgical decision making. CONCLUSIONS: Many women with prolapse prefer to retain their uterus at the time of surgery in the absence of a substantial benefit to hysterectomy. These findings should provide further impetus to investigate the efficacy of uterine-sparing procedures to help women make informed decisions regarding prolapse surgery.
Full Text
Duke Authors
Cited Authors
- Frick, AC; Barber, MD; Paraiso, MFR; Ridgeway, B; Jelovsek, JE; Walters, MD
Published Date
- March 2013
Published In
Volume / Issue
- 19 / 2
Start / End Page
- 103 - 109
PubMed ID
- 23442508
Pubmed Central ID
- 23442508
International Standard Serial Number (ISSN)
- 2151-8378
Digital Object Identifier (DOI)
- 10.1097/SPV.0b013e31827d8667
Language
- eng
Conference Location
- United States