This study is designed to compare laparoscopic and vaginal hysterectomy in women with benign gynaecological disease in Ain Shams University Maternity Hospital.

The current trial evaluates the performance and short-term postoperative outcomes of these two approaches for hysterectomy in Ain Shams University Maternity Hospital, a major tertiary hospital in Greater Cairo, and one of Egypt's leading centers in terms of provision of public medical service.

Eighty patients with benign indications, with no contraindications to neither laparoscopic nor vaginal approaches, were randomized into two equal groups, to undergo either of the two procedures: LH or VH.

Inclusion Criteria:

• Women undergoing hysterectomy for benign gynaecological disease (e.g., dysfunctional uterine bleeding, adenomyosis, fibroids).

Exclusion Criteria: Women with:

• known tubo-ovarian pathology requiring primary laparotomy, e.g. large adnexal masses
• known neoplasia requiring pelvic lymphadenectomy
• pelvic organ prolapse requiring additional procedures, e.g., uterine procidentia (complete prolapse), enterocoele
• conditions interfering with laparoscopic surgery, e.g. cardio-pulmonary disease, obesity (BMI 30 kg/m2 or more)
• large uteri interfering with vaginal hysterectomy (size >16 gestational weeks)