Psychological Well-being, Recovery and Sexuality After Total and Subtotal Hysterectomy

Subtotal Versus Total Abdominal Hysterectomy- a Prospective Randomised Comparison of Medical , Psychological and Sexual Effects.

The purpose of this study is to determine whether psychological well-being, recovery and sexuality differs in women undergoing subtotal and total abdominal hysterectomy.

Se also Detailed Description for additional study.

An additional study study based on the material in original study started in april 2011. The purpose of this study is to investigate the development of pelvis organ prolapse in the long term (median eleven years after hysterectomy and by questionnaires, Pelvic-floor Distress Inventory SF-20 analyze if patient reported symptoms regarding urinary-and bowels functions differs regarding the method of hysterectomy.

Inclusion Criteria:

• Primarily uterine fibroids with bleeding disturbance or mechanical symptoms but other benign disorders were hysterectomy was recommended were also eligible
• After surgery at least one ovary preserved.
• Informed verbal and written consent
• Proficiency in Swedish

Exclusion Criteria:

• Malignancy in the genital organs.
• Previous or present cervical dysplasia.
• Rapidly growing fibroids where malignancy could not be ruled out
• Preoperative treatment with GnRH analogues.
• Postmenopausal women without hormone therapy
• Severe psychiatric disorder