Long-term outcomes of the total or supracervical hysterectomy trial

被引：3
作者：
Greer W.J. [1 ,5 ]
Richter H.E. [1 ]
Wheeler T.L. [1 ]
Varner R.E. [1 ]
Szychowski J.M. [2 ]
Kuppermann M. [3 ,4 ]
Learman L.A. [3 ,4 ]
机构：
[1] Departments of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL
[2] Departments of Biostatistics, University of Alabama at Birmingham, Birmingham, AL
[3] Departments of Obstetrics, Gynecology, and Reproductive Sciences, University of California at San Francisco, San Francisco, CA
[4] Departments of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA
[5] Division of Women's Pelvic Medicine and Reconstructive Surgery, Birmingham, AL 35249-7333, NHB 219
来源：
Female Pelvic Medicine and Reconstructive Surgery | 2010年 / 16卷 / 01期
关键词：
Health-related quality of life; Prolapse symptoms; Sexual function; Supracervical hysterectomy; Total abdominal hysterectomy;
D O I：
10.1097/SPV.0b013e3181cec343
中图分类号：
学科分类号：
摘要：
Objective: Participants in the multicenter, randomized Total or Supracervical Hysterectomy (TOSH) trial showed within-group improvement in pelvic floor symptoms 2 years postsurgery and no differences between supracervical (SCH) versus total hysterectomy (TAH). This study describes longer term outcomes from the largest recruiting site. Methods: Questionnaires addressing pelvic symptoms, sexual function, and health-related quality of life (HRQOL) were administered. Linear models and McNemar test were used. Results: Thirty-seven participants (69%) responded (19 TAH, 18 SCH); mean follow up was 9.1 ± 0.7 years. No between-group differences emerged in urinary incontinence, voiding dysfunction, pelvic prolapse symptoms, and overall HRQOL. Within-group analysis showed significant improvement in the ability to have and enjoy sex (P = 0.002) and SF-36 physical component summary scores (P = 0.03) among women randomized to TAH. Conclusions: Nine years after surgery, TOSH participants maintained improvements in and show no major between-group differences in lower urinary tract or pelvic floor symptoms. Copyright © 2010 by Lippincott Williams & Wilkins.
引用
收藏
页码：49 / 57
页数：8
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