Considerations to improve the evidence-based use of vaginal hysterectomy in benign gynecology

Obstet Gynecol. 2014 Sep;124(3):585-588. doi: 10.1097/AOG.0000000000000398.


Vaginal hysterectomy fulfills the evidence-based requirements as the preferred route of hysterectomy for benign gynecologic disease. Despite proven safety and effectiveness, the vaginal approach for hysterectomy has been and remains underused in surgical practice. Factors associated with underuse of vaginal hysterectomy include challenges during residency training, decreasing case numbers among practicing gynecologists, and lack of awareness of evidence supporting vaginal hysterectomy. Strategies to improve resident training and promote collaboration and referral among practicing physicians and increasing awareness of evidence supporting vaginal hysterectomy can improve the primary use of this hysterectomy approach.

MeSH terms

  • Clinical Competence
  • Evidence-Based Practice* / economics
  • Evidence-Based Practice* / methods
  • Evidence-Based Practice* / standards
  • Female
  • Health Services Misuse / prevention & control
  • Humans
  • Hysterectomy, Vaginal* / economics
  • Hysterectomy, Vaginal* / education
  • Hysterectomy, Vaginal* / methods
  • Hysterectomy, Vaginal* / standards
  • Internship and Residency / methods*
  • Minimally Invasive Surgical Procedures
  • Patient Participation
  • Practice Patterns, Physicians'
  • Professional Practice / standards*
  • Quality Improvement
  • Teaching / standards
  • Uterine Diseases / surgery*