Health-related quality of life after laparoscopically assisted vaginal hysterectomy: Is uterine weight a major factor?

Abstract

Preoperative symptom severity, but not uterine weight, was associated with long-term improvement in HRQOL after LAVH. Women with severe symptoms could be considered for LAVH before development of anemia.

Improved quality of life is partly explained by fewer symptoms after treatment of fibroids with mifepristone

“…These findings suggest that although treatment with mifepristone was associated with a reduction in uterine size, such improvements do not improve women's quality of life, at least not independently of improvements in pain and bleeding. This finding is consistent with data that show that there is little relationship between fibroid size and symptoms [13,14].…”

Impact of Physical Therapy on Quality of Life and Function After Vaginal Reconstructive Surgery

“…All surveys were completed at baseline and 12 weeks after surgery. 29 The PFDI-20 assesses distress related to pelvic floor disorders. 28 The WHOQOL-BREF is an abbreviated version of the WHOQOL-100, which measures an individual's quality of life on a scale of zero to 100.…”

“…A previous RCT in women undergoing incontinence and prolapse surgery evaluated 56 subjects: 29 women in the control group and 27 women in the PT group. 29 Thus, to detect similar differences, our a priori sample size calculation yielded a size of 20 participants in each group, 80% power, and an effect size of 0.917. Improvements were described in the PT group; however, scores were not outlined in the manuscript.…”

Prediction of operation time for laparoscopic myomectomy by ultrasound measurements

“…It was suggested that the decision for uterine surgery should not be based on myoma size but on symptoms caused by myoma [10,30]. However, the myoma size is usually an important parameter, one assessed before surgery, and the decision made between LM and myomectomy is usually based on myoma size [6-8, 18, 22].…”