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

add to favorites email to friend print save as pdf

Related Stories

ACOG updates uterine bleeding recommendations

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

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

Eating disorders linked to adverse perinatal outcomes

8 hours ago

(HealthDay)—Maternal eating disorders are associated with adverse pregnancy, obstetric, and perinatal health outcomes, according to a study published in the October issue of the American Journal of Obstetrics & ...

Large variation in cesarean rates across US hospitals

Oct 21, 2014

Cesarean delivery is the most common inpatient surgery in the United States. US cesarean rates increased from 20.7% in 1996 to 32.9% in 2009 but have since stabilized, with 1.3 million American women having had a cesarean ...

User comments