Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy

Abstract

Objective: The purpose of this study was to assess understanding of the hysterectomy procedure and uterine fibroids among women in a general gynecology clinic. Materials and Methods: This was an anonymous cross-sectional survey. We adapted and pilot tested a survey instrument designed to assess understanding of the hysterectomy procedure and of uterine fibroids. The final version of the survey consisted of basic demographic questions, followed by 28 knowledge questions (Canadian Task Force Classification II-2). The survey was disseminated to women in the waiting room of one of our gynecology clinics. The patient population included women 18 years and older. Results: The mean age of respondents was 33.5 years old. In total, 69.5% of the respondents had at least some college education. In the group of questions related to different types of hysterectomies, the most poorly answered question was ''Which type of hysterectomy has the highest risk of damage to the bladder?'' Less than 40% of the respondents were able to identify a laparoscopic and robotic hysterectomy based on a written description. Of questions about uterine fibroids, the most poorly answered question was whether cancer that looks like fibroids is common, with >90% of the respondents incorrectly thinking that cancer that resembled fibroids is common. More than half of respondents did not know what a fibroid is. Conclusions: In this analysis of the understanding of the hysterectomy procedure and fibroids among an educated population, overall understanding was poor. Specific areas where knowledge was particularly poor were the different ways of doing a hysterectomy and uterine fibroids.

The impact of health literacy on uterine fibroid awareness, diagnosis, and treatment in the United States: a mini literature review

“…An anonymous population-based survey was distributed to women in a study designed to assess understanding of hysterectomies and uterine fibroids and included 28 knowledge questions and ten demographic questions. The knowledge questions focused on hysterectomy indications, hysterectomy types, procedures, post-hysterectomy care, and complications ( 5 ). A total of 200 surveys were collected.…”

“…Belilovets ( 5 ) reported that over 20 million women had undergone a hysterectomy. Hysterectomy is the most performed gynecological surgery.…”

Analysis of Indications and Different Surgical Approaches for Gynecological Hysterectomies and their Consequences

“…Comparable research was conducted and reported that the educated population's comprehension of hysterectomy surgery and fibroids, in general comprehension was poor. The numerous methods of performing a hysterectomy and uterine fibroids were particular areas where expertise was lacking 9 .…”

“…Due to the longer operating times but shorter hospital stays associated with minimally invasive surgery, the overall hospital cost is similar. The optimal surgical route is determined by multiple factors, including uterine size, accessibility, mobility, adhesions, uterine shape, uterine pathology, and surgeon experience 9 .…”