A 1-year follow up of psychological wellbeing after subtotal and total hysterectomy—a randomised study
Article first published online: 14 JAN 2010
© 2010 The Authors Journal compilation © RCOG 2010 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 117, Issue 4, pages 479–487, March 2010
How to Cite
Persson, P., Brynhildsen, J., Kjølhede, P. and on behalf of the Hysterectomy Multicentre Study Group in South-East Sweden (2010), A 1-year follow up of psychological wellbeing after subtotal and total hysterectomy—a randomised study. BJOG: An International Journal of Obstetrics & Gynaecology, 117: 479–487. doi: 10.1111/j.1471-0528.2009.02467.x
- Issue published online: 8 FEB 2010
- Article first published online: 14 JAN 2010
- Accepted 13 November 2009. Published Online 14 January 2010.
- psychological wellbeing;
- randomised study;
Please cite this paper as: Persson P, Brynhildsen J, Kjølhede P on behalf of the Hysterectomy Multicentre Study Group in South-East Sweden. A 1-year follow up of psychological wellbeing after subtotal and total hysterectomy—a randomised study. BJOG 2010;117:479–487.
Objective To compare subtotal abdominal hysterectomy (SH) and total abdominal hysterectomy (TH) regarding influence on postoperative psychological wellbeing and surgical outcome measurements.
Design A prospective, open, randomised multicentre trial.
Setting Seven hospitals and one private clinic in the south-east of Sweden.
Population Two-hundred women scheduled for abdominal hysterectomy for benign conditions were enrolled in the study; 179 women completed the study (94 SH and 85 TH).
Methods Four different psychometric tests were used to measure general wellbeing, depression and anxiety preoperatively, and at 6 and 12 months postoperatively. Statistical analysis of variance and covariance were used.
Main outcome measures Effects of operating method on psychological wellbeing postoperatively. Analysis of demographic, clinical and surgical data, including peri- and postoperative complications and complaints at follow up.
Results No significant differences were observed between the two groups in any of the psychometric tests. Both surgical methods were associated with a significantly higher degree of psychological wellbeing at 6 and 12 months postoperatively, compared with preoperatively. No significant differences were found in the clinical measures including complications. A substantial number of women experienced persistent cyclic vaginal bleedings after SH. Neither minor or major postoperative complications, nor serum concentration of sex hormones, were associated with general psychological wellbeing 12 months after the operation.
Conclusions General psychological wellbeing is equally improved after both SH and TH within 12 months of the operation, and does not seem to be associated with the occurrence of peroperative complications or serum concentration of sex hormones.