Pelvic organ prolapse patients' attitudes and preferences regarding their uterus: comparing German- and Russian-speaking women

Int Urogynecol J. 2019 Dec;30(12):2077-2083. doi: 10.1007/s00192-019-03918-9. Epub 2019 Apr 26.


Introduction and hypothesis: The aim of this study was to compare preferences of patients with pelvic organ prolapse (POP) regarding their uterus between German- and Russian-speaking areas.

Methods: Six urogynecologic tertiary referral centers participated in this prospective study: three centers from German-speaking countries and three from different regions of Russia. To assess the uterus-related preferences as well as the attitude toward hysterectomy versus uterus-sparing prolapse surgery, we developed a structured questionnaire that included 5-point Likert scales related to benefit of uterus (BOU) and benefit of not having uterus (BNU). Each scale consisted of 12 items (range of possible scores: 12-60). Finally, patients were asked if they preferred uterus removal or preservation when undergoing prolapse surgery.

Results: One hundred and seventy-eight German-speaking and 206 Russian-speaking patients were included in the study. There was no significant difference in patients' preference before undergoing POP surgery regarding uterus preservation versus hysterectomy between German- and Russian-speaking patients: 40% of German-speaking and 54% of Russian-speaking patients preferred to retain their uterus before undergoing POP surgery. Comparison of BOU mean scores showed a significant difference between groups: 20.6 ± 6.7 for German-speaking compared with 32.5 ± 9.1 for Russian-speaking patients (p < 0.01). The Russian-speaking group had significantly higher mean scores on domains sexuality, body image, and partnership of the BOU scale (2.6 ± 1.0 vs. 1.8 ± 0.9 for sexuality; 2.4 ± 1.1 vs. 1.5 ± 0.7 for body image, and 2.6 ± 0.9 vs. 1.6 ± 0.7 for partnership domains; p < 0.05).

Conclusions: Although a large proportion of German- and Russian-speaking patients prefers uterus preservation when undergoing prolapse surgery, the uterus was more important for sexuality, partnership, and body image in Russian-speaking patients.

Keywords: Attitude; Pelvic organ prolapse; Preference; Uterus score; Uterus-sparing prolapse surgery.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Attitude to Health / ethnology*
  • Body Image / psychology
  • Cross-Cultural Comparison
  • Female
  • Germany
  • Humans
  • Hysterectomy / psychology*
  • Language
  • Middle Aged
  • Organ Sparing Treatments / psychology*
  • Patient Preference*
  • Pelvic Organ Prolapse / psychology*
  • Pelvic Organ Prolapse / surgery
  • Prospective Studies
  • Russia
  • Sexual Behavior / psychology
  • Surveys and Questionnaires
  • Uterus / surgery