PMID: 8611783Feb 3, 1996Paper

Randomised trial comparing hysterectomy with endometrial ablation for dysfunctional uterine bleeding: psychiatric and psychosocial aspects

BMJ : British Medical Journal
D A AlexanderI T Russell

Abstract

To compare in psychiatric and psychosocial terms the outcome of hysterectomy and endometrial ablation for the treatment of dysfunctional uterine bleeding. Prospective randomised controlled trial. SETTING--Obstetrics and gynaecology department of a large teaching hospital. 204 women with dysfunctional bleeding for whom hysterectomy would have been the preferred treatment were recruited over 24 months and randomly allocated to hysterectomy (99 women) or to hysteroscopic surgery (transcervical resection (52 women) or laser ablation (53 women). Mental state, martial relationship, psychosocial and sexual adjustment in assessments conducted before the operation and one month, six months, and 12 months later. Both treatments significantly reduced the anxiety and depression present before the operation, and there were no differences in mental health between the groups at 12 months. Hysterectomy did not lead to postoperative psychiatric illness. Sexual interest after the operation did not vary with treatment. Overall, 46 out of 185 (25%) women reported a loss sexual interest and 50 out of 185 (27%) reported increased sexual interest. Marital relationships were unaffected by surgery. Personality and duration of dysfunctional uterine blee...Continue Reading

References

Jan 1, 1975·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·W H Utian
Jul 1, 1977·The British Journal of Psychiatry : the Journal of Mental Science·C B Ballinger
Jul 1, 1992·American Journal of Obstetrics and Gynecology·S A TreloarA C Heath
Apr 1, 1989·The British Journal of Psychiatry : the Journal of Mental Science·M M RyanR Pepperell
Jan 1, 1986·Journal of Psychosomatic Research·L R Derogatis
Aug 1, 1985·American Journal of Obstetrics and Gynecology·P A WingoH B Peterson
Oct 26, 1974·Lancet·D H Richards
May 1, 1984·The British Journal of Clinical Psychology·M M TsoiR S Poon
Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Apr 1, 1982·The British Journal of Psychiatry : the Journal of Mental Science·D GathA Day
Oct 1, 1993·Acta Obstetricia Et Gynecologica Scandinavica·T F AndersenM Madsen
Mar 25, 1993·The New England Journal of Medicine·K J CarlsonI Schiff

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Citations

Nov 22, 1997·Diseases of the Colon and Rectum·J H van DamW R Schouten
Jun 30, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Toril Rannestad
Jun 30, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Ranee Thakar, Abdul H Sultan
May 16, 2000·Obstetrics and Gynecology·S A Farrell, K Kieser
Jun 8, 2002·Obstetrics and Gynecology·Anne M Weber
Mar 11, 2000·Obstetrics and Gynecology·K H KjerulffP D Stolley
Sep 23, 2003·Controlled Clinical Trials·Kay DickersinUNKNOWN Surgical Treatments Outcomes Project for Dysfunctional Uterine Bleeding Research Group
Mar 18, 2003·Social Science & Medicine·Sirkku VuormaJuha Teperi
Dec 1, 1996·European Journal of Obstetrics, Gynecology, and Reproductive Biology·I M CameronD Torgerson
Apr 3, 2001·BJOG : an International Journal of Obstetrics and Gynaecology·R HurskainenJ Paavonen
Apr 18, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Barry WrightTony Rutherford
Sep 5, 2001·Acta Obstetricia Et Gynecologica Scandinavica·F WieserF Nagele
Jan 16, 1998·Clinical Obstetrics and Gynecology·K J Carlson
Jan 16, 1998·Clinical Obstetrics and Gynecology·M J Naughton, W L McBee
Aug 19, 2000·Clinical Obstetrics and Gynecology·D N Kammerer-Doak, R G Rogers
Jun 19, 2002·The Australian & New Zealand Journal of Obstetrics & Gynaecology·C M FarquharK Meuli
Jul 31, 1999·British Journal of Obstetrics and Gynaecology·G KhastgirJ Catalan
Apr 1, 1999·The Australian & New Zealand Journal of Obstetrics & Gynaecology·S SinghV Veer
Jan 9, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Maram DarwishTamara Mohamed-Taysir
Nov 10, 2007·Fertility and Sterility·Rupesh RainaCraig D Zippe
Oct 28, 2016·Sexual Medicine Reviews·Ranee Thakar
Nov 15, 2011·Journal of Minimally Invasive Gynecology·Thomas L WheelerUNKNOWN Society of Gynecologic Surgeons Systematic Review Group
Nov 15, 2011·Journal of Minimally Invasive Gynecology·Kristen A MattesonUNKNOWN Society of Gynecologic Surgeons Systematic Review Group
Jul 14, 2010·Journal of Minimally Invasive Gynecology·Chris Sutton
Jan 25, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Ranee Thakar
Sep 8, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·P PerssonP Kjølhede
Mar 1, 1997·Baillière's Clinical Obstetrics and Gynaecology·M M Ryan
Mar 1, 1997·Baillière's Clinical Obstetrics and Gynaecology·A Davies, A L Magos
Mar 7, 2003·AORN Journal·Diane D League
May 30, 2006·Best Practice & Research. Clinical Obstetrics & Gynaecology·Ritva Hurskainen
Jan 24, 2006·Best Practice & Research. Clinical Obstetrics & Gynaecology·Chris Sutton
Oct 4, 2005·Journal of Psychosomatic Research·Nicole FloryYitzchak M Binik
Sep 6, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Pietro LittaAntonio Ambrosini
Jul 19, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Kevin G Cooper
Jul 1, 1997·American Journal of Obstetrics and Gynecology·P G CrosignaniM Meschia
Sep 16, 1999·American Journal of Obstetrics and Gynecology·A M WeberM R Piedmonte
May 30, 2007·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Zhimei LiuRobert W Dubois
Oct 29, 2008·Evidence-based Complementary and Alternative Medicine : ECAM·Xiang TuShengkui Tan

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