Vaginal vs. Laparoscopic Hysterectomy

Vaginal Hysterectomy Versus Total Laparoscopic Hysterectomy for Benign Indications: A Randomized Controlled Trial

Hysterectomy for benign indication is one of the most common surgical procedures in women. Numerous reviews and guidelines recommend the vaginal approach for benign hysterectomy, but the proportion of laparoscopic (and robotic) hysterectomies is increasing.

This study will compare a range of clinical and subjective outcomes of vaginal vs. total laparoscopic hysterectomy. Outcomes include operating time, postoperative recovery, return to work as well as cosmesis, quality of life and sexual health.

Inclusion Criteria:

• benign indication for vaginal hysterectomy (e.g., abnormal uterine bleeding, fibroids, atypical endometrial hyperplasia)
• clinical exam indicates vaginal hysterectomy is feasible
• no major concomitant surgery
• able to complete questionnaires in German

Exclusion Criteria:

• uterine malignancy
• major concomitant surgery (e.g., for incontinence or prolapse)
• clinical exam indicating vaginal hysterectomy not feasible
• contraindication for surgery or laparoscopy