Attitudes toward hysterectomy in women undergoing evaluation for uterovaginal prolapse.

Journal Article (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

International Standard Serial Number (ISSN)

  • 2151-8378

Digital Object Identifier (DOI)

  • 10.1097/SPV.0b013e31827d8667


  • eng

Conference Location

  • United States