Total versus subtotal hysterectomy for benign gynaecological conditions

The Cochrane Database of Systematic Reviews
A LethabyN P Johnson

Abstract

Hysterectomy using an abdominal approach removes either the uterus alone (subtotal hysterectomy) or both the uterus and the cervix (total hysterectomy). The latter is more common but outcomes have not been systematically compared. To assess and compare outcomes with subtotal hysterectomy versus total abdominal hysterectomy for benign gynaecological conditions. We searched the Cochrane Menstrual Disorders and Subfertility Group's specialised register of controlled trials (December 2005), Central (December 2005), Medline (1966 to December 2005), EmBase (1980 to December 2005), Biological Abstracts (1980 to December 2005), the National Research Register and relevant citation lists. Only randomised controlled trials of women undergoing either total or subtotal hysterectomy for benign gynaecological conditions were included. Three trials that included 733 participants were included. Independent selection of trials and data extraction were undertaken by 2 reviewers and results compared. There was no evidence of a difference in the rates of incontinence, constipation or measures of sexual function. In one unblinded trial, a significantly greater proportion of women indicated that they had frequent episodes of urinary incontinence afte...Continue Reading

Citations

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May 26, 2007·Best Practice & Research. Clinical Obstetrics & Gynaecology·Paul McGurgan, Peter O'Donovan
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