Cited by 149Pelvic floor disorders treatmentsUterine Myomas and TreatmentsReproductive Health and Contraception

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Attitudes Toward Hysterectomy in Women Undergoing Evaluation for Uterovaginal Prolapse

Frick, Anna C., Barber, Matthew D., Paraiso, Marie Fidela R., Ridgeway, Beri, Jelovsek, John Eric, Walters, Mark D.·2013·Female Pelvic Medicine & Reconstructive Surgery

DOI 10.1097/spv.0b013e31827d8667

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Abstract

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.

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Prolapso dos órgãos pélvicos
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Authors: Frick, A. C., Barber, M. D., Paraiso, M. F. R., Ridgeway, B., Jelovsek, J. E., & Walters, M. D.
Affiliations: Cleveland Clinic (US)
ORCID: Barber, Matthew D.
Paraiso, Marie Fidela R.
Ridgeway, Beri
Jelovsek, John Eric
Walters, Mark D.
Venue: Female Pelvic Medicine & Reconstructive Surgery
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2013-03
Volume: 19
Issue: 2
Pages: 103-109
ISSN: 2151-8378 (ISSN-L)
DOI: 10.1097/spv.0b013e31827d8667
OpenAlex: W2334954175
Cited by: 149
References: 5
Citations by year: 2026: 5 · 2025: 7 · 2024: 10 · 2023: 13 · 2022: 16 · 2021: 17 · 2020: 20 · 2019: 14 · 2018: 11 · 2017: 12 · 2016: 11 · 2015: 5 · 2014: 3 · 2013: 5
FWCI: 6.55
Type: journal article
Language: en
Open access: closed
Locations: Urogynecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
Keywords: hysterectomy, uterovaginal prolapse, pelvic organ prolapse, patient attitudes, surgical decision-making, uterus-sparing surgery, prolapse repair, surgical complications, cancer risk, informed consent, Control Preferences Scale
MeSH terms: Adult, Aged, Aged, 80 and over, Attitude to Health, Decision Making, Female, Humans, Hysterectomy, Middle Aged, Pelvic Organ Prolapse

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Attitudes Toward Hysterectomy in Women Undergoing Evaluation for Uterovaginal Prolapse

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