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Attitudes Toward Hysterectomy in Women Undergoing Evaluation for Uterovaginal Prolapse
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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“Most women with uterine prolapse would prefer to avoid hysterectomy if an equally effective alternative were available [8].”
From Laparoscopic sacrohysteropexy versus vaginal hysterectomy and apical suspension: 7-year follow-up of a randomized controlled trial (2022) · cites this paper as [8]
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Cites
Barber, M. D., Walters, M. D., & Bump, R. C. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.12.025 · Cited by 1,357
Self-citationLaparoscopic suture hysteropexy for uterine prolapse
MAHER, C. F. (2001) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(01)01376-x · Cited by 126
Medina, C. A., & Takács, P. (2006) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2006.04.009 · Cited by 36
Ridgeway, B., Frick, A. C., & Walter, M. D. (2008) · PubMed · Cited by 24
Self-citationFaut-il faire une hystérectomie au cours de la chirurgie du prolapsus par voie vaginale ?
Debodinance, P., Fatton, B., & Lucot, J.-P. (2009) · The French Journal of Urology · doi:10.1016/j.purol.2009.09.022 · Cited by 13
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Patient preferences for uterine preservation and hysterectomy in women with pelvic organ prolapse
Korbly, N. B., Kassis, N. C., Good, M. M., Richardson, M. L., Book, N. M., Yip, S., Saguan, D., Gross, C., Evans, J., Lopes, V. V., et al. (2013) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2013.08.003 · Cited by 211
Detollenaere, R. J., den Boon, J., Stekelenburg, J., IntHout, J., Vierhout, M. E., Kluivers, K. B., & van Eijndhoven, H. W. F. (2015) · BMJ · doi:10.1136/bmj.h3717 · Cited by 194
Schulten, S. F. M., Detollenaere, R. J., Stekelenburg, J., IntHout, J., Kluivers, K. B., & van Eijndhoven, H. W. F. (2019) · BMJ · doi:10.1136/bmj.l5149 · Cited by 127
Pelvic organ prolapse and sexual function
Fatton, B., de Tayrac, R., Letouzey, V., & Huberlant, S. (2020) · Nature Reviews Urology · doi:10.1038/s41585-020-0334-8 · Cited by 109
Ridgeway, B. M. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2015.07.035 · Cited by 80
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Metadata
- Authors
- Frick, A. C., Barber, M. D., Paraiso, M. F. R., Ridgeway, B., Jelovsek, J. E., & Walters, M. D.
- Affiliations
- Cleveland Clinic (US)
- Venue
- Female Pelvic Medicine & Reconstructive Surgery
- Published
- 2013-03
- Volume
- 19
- Issue
- 2
- Pages
- 103-109
- ISSN
- 2151-8378 (ISSN-L)
- 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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