Intended for healthcare professionals

Rapid response to:


Hysterectomy and sexual wellbeing: prospective observational study of vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy

BMJ 2003; 327 doi: (Published 02 October 2003) Cite this as: BMJ 2003;327:774

Rapid Response:

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:  
None declared

Competing interests: No competing interests

05 October 2003
Michael Friedman
Director, Institution for Women's Health & Principle Gynecologist-in-Charge
Haifa, Israel
Maccabi Healthcare Services and Gyn. Dept. Rambam Med. Cntr.