Subtotal versus total abdominal hysterectomy: randomized clinical trial with 14-year questionnaire follow-up

Objective comparison of subtotal vs. total abdominal hysterectomy regarding pelvic organ prolapse and urinary incontinence: a randomized controlled trial with 14-year follow-up

“…According to the follow-up questionnaire [16] 12 (12.9%) women in the SAH group and 11 (11.3%) in the TAH group had symptoms of pelvic organ prolapse and no difference was seen between surgical groups regarding compartment of the prolapse ( Table 2). POP-Q showed that 31 (59.6%) in the SAH group and 33 (70.2%) in the TAH group had at least stage 2 POP (Table 2); nevertheless, of the women with objective POP only 6 in the SAH group and 9 in the TAH group reported symptoms related to prolapse.…”

“…The questionnaire was answered by 197/304 (64.8%) women [16]. Half of these were examined, yielding a total proportion of 100/304 (32.9%) women (SAH: 53 (34.6%) and TAH: 47 (31.1%)) for examination.…”

“…Participants,living in Denmark in September 2012, were contacted by letter. The invitation included the validated questionnaire previously used [15][16][17] (supplementary files S1 and S2), the Pelvic Floor Distress Inventory (PFDI-20, Danish validated translation [18]), and an invitation for clinical examination. Reminders were sent twice to non-responders.…”

“…Questionnaire results from our RCT comparing subtotal (SAH) with total (TAH) abdominal hysterectomy showed that more women had subjective UI 14 years after SAH than after TAH [15][16][17]. The number of women with UI in both hysterectomy groups decreased immediately after the operation and increased by years of follow-up [15][16][17].…”

“…The number of women with UI in both hysterectomy groups decreased immediately after the operation and increased by years of follow-up [15][16][17].…”