A prospective study of outcomes five years after hysterectomy in premenopausal women

Aust N Z J Obstet Gynaecol. 2008 Oct;48(5):510-6. doi: 10.1111/j.1479-828X.2008.00893.x.


Aims: To prospectively collect data five years after hysterectomy and compare with data of women who had not undergone hysterectomy.

Methods: A prospective cohort study of five years of premenopausal women with and with out hysterectomy was undertaken. Multivariate analytical methods were used to control for differences between groups.

Results: Comparing the prehysterectomy and five years post-hysterectomy data, pelvic pain, abdominal pain, urinary frequency and depression scores were reduced five years following hysterectomy. Women in the non-hysterectomy group were more likely to describe their health as good or very good (74%) than women in the hysterectomy group (56%) (P=0.03).

Conclusions: The long-term health of women who undergo hysterectomy is not noticeably different from a group of women who do not undergo hysterectomy. In women undergoing hysterectomy, pelvic pain, urinary frequency and depression scores are reduced five years after hysterectomy compared to prehysterectomy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case-Control Studies
  • Cohort Studies
  • Depression / epidemiology
  • Depression / psychology
  • Female
  • Health Status*
  • Humans
  • Hysterectomy / adverse effects
  • Hysterectomy / methods
  • Hysterectomy / psychology*
  • Middle Aged
  • Multivariate Analysis
  • Patient Satisfaction*
  • Pelvic Pain / epidemiology
  • Premenopause*
  • Prospective Studies
  • Time Factors
  • Treatment Outcome
  • Urination / physiology