Many women with pelvic prolapse prefer to keep uterus

Many women with pelvic prolapse prefer to keep uterus

(HealthDay)—More women may prefer uterine preservation to hysterectomy for the treatment of pelvic organ prolapse symptoms, according to research published in the November issue of the American Journal of Obstetrics & Gynecology.

In an effort to assess patient preferences for uterine preservation versus hysterectomy, Nicole B. Korbly, M.D., of Brown University in Providence, R.I., and colleagues conducted a multicenter, cross-sectional study of 213 women receiving an initial urogynecologic evaluation for prolapse symptoms.

The researchers found that, if outcomes were equal for the two treatments, patient preferences were, in descending order, no strong preference (44 percent), uterine preservation (36 percent), and hysterectomy (20 percent). If uterine preservation was superior, women preferred uterine preservation (46 percent) and hysterectomy (11 percent). If hysterectomy was superior, 21 percent of women still preferred uterine preservation. Women were more likely to prefer uterine preservation if they believed that the uterus was important for their sense of self (odds ratio [OR], 28.2) or had at least some college education (OR, 2.87). Women in the South were less likely than women in the Northeast to prefer uterine preservation (OR, 0.17).

"A higher proportion of women with prolapse who were examined for urogynecologic evaluation preferred uterine preservation, compared with hysterectomy," the authors write.

More information: Abstract
Full Text

Related Stories

ACOG updates uterine bleeding recommendations

date Jun 26, 2013

(HealthDay)—Updated patient management guidelines for the treatment of patients with abnormal uterine bleeding associated with ovulatory dysfunction (AUB-O) have been released in a practice bulletin published ...

Genetic risk for uterine fibroids discovered

date Oct 04, 2012

Uterine fibroids are the most common type of pelvic tumors in women and are the leading cause of hysterectomy in the United States. Researchers from Brigham and Women's Hospital (BWH) are the first to discover a genetic risk ...

Recommended for you

ACOG urges expedited partner therapy for some STIs

date 3 hours ago

(HealthDay)—For patients with sexually transmitted infections (STIs), such as gonorrhea and chlamydia, whose partners are unable or unwilling to seek care, expedited partner therapy can be used to prevent ...

German woman, 65, gives birth to quadruplets

date May 23, 2015

A 65-year-old teacher from Berlin has given birth to quadruplets after a pregnancy that was widely criticized by medical professionals because of her age, RTL television said Saturday.

More evidence C-sections riskier for moms

date May 20, 2015

(HealthDay)—Women who deliver their first baby by cesarean section are more likely to need blood transfusions and be admitted to intensive care units than women who opt for a vaginal delivery, U.S. health ...

Meds offer slight symptom relief in overactive bladder

date May 20, 2015

(HealthDay)—For women with overactive bladder, medications delivered as a daily dose correlate with small reductions in urge incontinence episodes and voiding, according to a review published online May ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.