Outcomes of Hysterectomy

Carlson, Karen J.

doi:10.1097/00003081-199712000-00029

Cited by 105 publications

(47 citation statements)

References 27 publications

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“…Several studies have reported that the vast majority of women having hysterectomies report considerable improvement in the symptoms that led to the surgery and a high level of satisfaction with the procedure. [3][4][5][6] Studies of hysterectomy outcomes generally have been conducted in predominantly white populations and have not described results separately by racial/ethnic group. [4][5][6] Although African American women are at higher risk for having hysterectomy, 7,8 there is much less information available on changes in symptoms after hysterectomy in this population.…”

Section: Introductionmentioning

confidence: 99%

Reported Symptoms Before and One Year After Hysterectomy in African American and White Women

Moorman

Schildkraut

Myers

et al. 2011

Journal of Women's Health

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Purpose: Although African American women are more likely than white women to undergo hysterectomy, there are few data describing their symptoms before and after surgery. This report compares reported symptoms in white and African American women before and 1-year after having a hysterectomy with at least one ovary retained. Methods: Using data from a prospective cohort study, we compared self-reported symptoms at baseline and 1-year follow-up among 382 women undergoing hysterectomy without bilateral oophorectomy (197 African American and 185 white) and 448 controls (199 African American and 249 white). Symptoms were assessed using an 11-item scale with questions on somatic, psychologic, and urogenital symptoms. Results: Women undergoing hysterectomy had more severe symptom scores before surgery than controls, but no significant racial differences were found. At follow-up, total scores for women with hysterectomies were comparable to those of control women, but some differences were observed within individual domains. Urogenital scores were worse for women with hysterectomies for both African American and white women. African American women with hysterectomies had better scores in the psychologic domain than either controls or white women with hysterectomies. Conclusions: African American women, despite having such characteristics as larger uterine weight and lower hemoglobin that might suggest they would have more severe symptoms, had scores that were no worse than white women both before and after hysterectomy.

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Section: Introductionmentioning

confidence: 99%

Reported Symptoms Before and One Year After Hysterectomy in African American and White Women

Moorman

Schildkraut

Myers

et al. 2011

Journal of Women's Health

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“…Even hysterectomy alone, without the removal of the ovaries, can result in sexual dysfunction. 4 Symptoms women commonly experience post-operatively include decreased desire, decreased arousal, decreased genital sensation and orgasmic dysfunction. The anatomicaphysiologic basis for sexual dysfunction post-hysterectomy is still unclear.…”

Section: Introductionmentioning

confidence: 99%

SSI Prize Essay for Female Sexual Dysfunction—Clinical ‘Clinical evaluation of female sexual function: effects of age and estrogen status on subjective and physiologic sexual responses’

Berman

Werbin

et al. 1999

Int J Impot Res

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Introduction: 30 ± 50% of American women complain of sexual dysfunction. Aging, menopause, and a decline in circulating estrogen levels signi®cantly increase the incidence of sexual complaints. Evaluaton of physiologic components of the female sexual response has, in the past, been technically challenging and dif®cult to standardize. We describe methodology for evaluating physiologic and subjective components of the female sexual response in the clinical setting and determine the effcts of age and estrogen status on them. Methods: 48 women with complaints of sexual dysfunction were evaluated. Physiologic measurements include genital blood peak systolic velocity, vaginal pH, intravaginal pressure ± volume changes (compliance), and genital vibratory perception thresholds. Measurements were recorded at baseline and following sexual stimulation. Baseline subjective sexual function was assessed using a Female Sexual Function Inventory. Age was then correlated with both physiologic and subjective sexual responses. Results: Sexual stimulation resulted in increased mean genital blood peak systolic velocity, vaginal pressure ± volume, and vaginal pH measurements (P`0.05) in all women. Older women (ages 55 ± 71 y) and menopausal women not on hormone replacement therapy had signi®cantly lower physiologic response sexual complaints. Baseline subjective sexual function complaints included low arousal (67%), low desire (21%), dif®culty achieving orgasm (92%), and pain or discomfort during andaor following intercourse (67%). Conclusions: Clinical evaluation of physiologic and subjective components of the female sexual response are possible using this comprehensive approach. Physiologic measurements were reproducible and easy to perform, and incidence and types of sexual complaints were assessed with the sexual function questionnaire. A comprehensive approach is necessary when evaluating female sexual dysfunction due to the signi®cant emotional and relational factors that can contribute to the problem. This combined subjectiveaphysiologic assessment may also prove useful when evaluating ef®cacy of pharmacotherapy in the future.

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“…It has also been reported that these symptoms usually disappear approximately in three to six months [17]. Prospective studies on the short-term effects of hysterectomy confirmed lack of any detrimental effect of hysterectomy on bladder function [12,[18][19][20]. In a study by El-Youkhy et al, an urodynamic assessment of hysterectomized patients six months after surgery revealed no detrimental effects and resolution of urinary dysfunction symptoms was observed [20].…”

Section: Discussionmentioning

confidence: 95%

Urodynamic assessment of short-term effects of pelvic radiotherapy on bladder function in patients with gynecologic cancers

Emirdar

Naykı²,

Ertaş³

et al. 2016

Ginekol Pol

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Objectives: To determine the short-term effects of adjuvant or primary curative radiotherapy (RT) on the urinary system in women with gynecologic cancer. Material and methods:This is a prospective, concurrent cohort study including 55 patients with gynecologic cancer who were divided into three groups. Group 1 included 10 patients who were administered adjuvant RT following a radical hysterectomy (RH); Group 2 included 36 patients who were administered adjuvant RT following a type 1 hysterectomy and Group 3 included 9 patients who were administered primary curative RT. Urogynecologic assessments were carried out on patients before and six months after the treatment.Results: Compared to pretreatment, no significant differences were observed in any of the three groups after treatment in terms of incontinence, first urge to urinate, normal urge to urinate, severe urge to urinate and changes in residual urine volumes. There was a significant decrease in maximal vesical pressure after treatment in Group 1 and Group 3. The maximum detrusor pressure decreased significantly in Group 1. The post-treatment decline in bladder capacity in Group 1 and Group 2 was also significant. Conclusions:RH and pelvic RT cause lower urinary system dysfunction. Especially patients who receive primary curative RT and patients who are administered RT after RH, where more pelvic denervation occurs, are at higher risk due to high doses of RT.

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Outcomes of Hysterectomy

Cited by 105 publications

References 27 publications

Reported Symptoms Before and One Year After Hysterectomy in African American and White Women

Reported Symptoms Before and One Year After Hysterectomy in African American and White Women

SSI Prize Essay for Female Sexual Dysfunction—Clinical ‘Clinical evaluation of female sexual function: effects of age and estrogen status on subjective and physiologic sexual responses’

Urodynamic assessment of short-term effects of pelvic radiotherapy on bladder function in patients with gynecologic cancers

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