Total Histerectomy: Wise Decision.
At least three decades ago Western gynecologists came to the
conclusion that no uterine cervix should be left behined while performing
abdominal hysterectomy. One of the principle causes for such "innovation"
was our desire to prevent cervical dysplasia and cervical invasive
cancer. During the recent yeasr we became the witnesses that some
gynecological surgens advocate the "supracervical hysterectomy
renaissance". Thay argued the such a "new" approach might prevent
posthysterectomy vaginal vault prolapse, urinary incontinence and could
be beneficial for sexual life preserving the ability for patient's orgasm.
Such a revival of an old surgical approach was rather wishful thinking
than the triumph of the science. For me the main point of Roovers et al.
paper is that supracervical uterine removal is NOT superior to
panhysterectomy at least in sexual wellbeing. I belive that with the
incontinence and prolapse we will get the same conclusion.
Competing interests: No competing interests