Purpose:

The attempt to further reduce the operative trauma in laparoscopic hysterectomy led in new technique such as Single-Port Access (SPA) laparoscopic surgery. This new technique is considered as painless procedure and better cosmetic effect but there are not any publications to study a possible different pain score and cosmetic effect in new techniques versus conventional laparoscopic hysterectomy. In this randomized controlled study the researchers have investigated the pain scores and cosmetic satisfaction by modified body image scale and cosmetic scar scale.

Inclusion Criteria:

• Age 30-60, female
• Symptomatic (Dysmenorrhea, Palpable mass, Pelvic pain or discomfort, Urinary symptom, Increasing size, Menorrhagia) myomas or adenomyosis
• Suspected uterine myoma and/or adenomyosis on transvaginal ultrasonography (USG)
• At least a 6-month thorough follow-up record available
• Informed consent

Exclusion Criteria:

• Endometrial hyperplasia without myoma or adenomyosis
• Body Mass Index more than 30
• Huge uterus defined by longitudinal uterine diameter larger than 10cm and anteroposterior diameter larger than 8cm in USG