Vaginal hysterectomy is a certain cureBMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6982.803 (Published 25 March 1995) Cite this as: BMJ 1995;310:803
- K A Louden,
- D N Joyce
- Senior registrar Consultant obstetrician and gynaecologist Southmead Hospital, Westbury on Trym, Bristol BS10 4NB
- Research registrar Whipps Cross Hospital, London E11
EDITOR,—S B Pinion and colleagues' study comparing endometrial resection and hysterectomy largely ignores the benefits of vaginal hysterectomy.1 The authors conclude that “hysteroscopic surgery can be recommended as an alternative to hysterectomy for dysfunctional uterine bleeding” despite the finding that 28 of 105 patients required a second operation and that the proportion of patients who were “less than very satisfied” in the hysteroscopic group (22%) was double that in the hysterectomy group (11%).
In a retrospective audit in our hospital (1989-92) …