Umeå University's logo

umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Effect of hysterectomy on pain in women with endometriosis: a population-based registry study
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology. Department of Obstetrics and Gynaecology, Sundsvall County Hospital, Sundsvall, Sweden.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology.ORCID iD: 0000-0002-5697-4299
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology.ORCID iD: 0000-0002-0907-3535
Show others and affiliations
2020 (English)In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 127, no 13, p. 1628-1635Article in journal (Refereed) Published
Abstract [en]

Objective: To assess pain symptoms before and after hysterectomy in women with endometriosis.

Design: A population-based registry study.

Setting: Sweden.

Population: Women aged 18-45 years who underwent hysterectomy for endometriosis between 2010 and 2015.

Methods: Pain symptoms before hysterectomy and 12 months after surgery were collected from the Swedish National Quality Register for Gynaecological Surgery (GynOp). Pain symptoms were also assessed by follow-up surveys after a median follow-up period of 63 months.

Main outcome measures: Pelvic or lower abdominal pain after hysterectomy.

Results: The study included 137 women. The proportion of women experiencing pain of any severity decreased by 28% after hysterectomy (P < 0.001). The proportion of women with severe pain symptoms decreased by 76% after hysterectomy (P < 0.001). The majority of women (84%) were satisfied with the surgical result. Presence of severe pain symptoms after the hysterectomy was associated with less satisfaction (P < 0.001). Pain symptoms after surgery, patient satisfaction and the patient's perceived improvement were not significantly different between women whose ovarian tissue was preserved and women who underwent bilateral oophorectomy.

Conclusions: We observed a significant, long-lasting reduction in pain symptoms after hysterectomy among women with endometriosis. Hysterectomy, with the possibility of ovarian preservation, may be a valuable option for women with endometriosis who suffer from severe pain symptoms.

Tweetable abstract: Hysterectomy is a valuable option for women with endometriosis and severe pain symptoms.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020. Vol. 127, no 13, p. 1628-1635
Keywords [en]
Endometriosis, hysterectomy, oophorectomy, pain, quality of life
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:umu:diva-172842DOI: 10.1111/1471-0528.16328ISI: 000538998500001PubMedID: 32437082Scopus ID: 2-s2.0-85086173927OAI: oai:DiVA.org:umu-172842DiVA, id: diva2:1448116
Available from: 2020-06-26 Created: 2020-06-26 Last updated: 2024-04-08Bibliographically approved

Open Access in DiVA

fulltext(270 kB)264 downloads
File information
File name FULLTEXT01.pdfFile size 270 kBChecksum SHA-512
a7a965b58b275ab6099e88a9091f84c7cb691cfd618093570dcc88b6161e9705aaa71612febaf6ff33a657698e4b904182528434c4dbc6d9aceef83f9db713d3
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Sandström, AntonBixo, MarieJohansson, MajaBäckström, TorbjörnTurkmen, Sahruh

Search in DiVA

By author/editor
Sandström, AntonBixo, MarieJohansson, MajaBäckström, TorbjörnTurkmen, Sahruh
By organisation
Obstetrics and Gynecology
In the same journal
British Journal of Obstetrics and Gynecology
Obstetrics, Gynecology and Reproductive Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 264 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 755 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf