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Quality of Life after Hysterectomy and Uterus-Sparing Hysteroscopic Management of Abnormal Uterine Bleeding or Heavy Menstrual Bleeding
STUDY OBJECTIVE: To compare the effect on quality of life (QOL) of uterus-sparing hysteroscopic targeted therapy with that of hysterectomy as therapeutic surgical procedure for heavy menstrual bleeding (HMB). METHODS/METHODOLOGY: This was a prospective observational study. SETTING: Endoscopy unit, D...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6643714/ https://www.ncbi.nlm.nih.gov/pubmed/31391754 http://dx.doi.org/10.4103/jmh.JMH_15_19 |
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author | Selvanathan, Sushma Acharya, Neema Singhal, Sonakshi |
author_facet | Selvanathan, Sushma Acharya, Neema Singhal, Sonakshi |
author_sort | Selvanathan, Sushma |
collection | PubMed |
description | STUDY OBJECTIVE: To compare the effect on quality of life (QOL) of uterus-sparing hysteroscopic targeted therapy with that of hysterectomy as therapeutic surgical procedure for heavy menstrual bleeding (HMB). METHODS/METHODOLOGY: This was a prospective observational study. SETTING: Endoscopy unit, Department of Obstetrics and Gynecology, Datta Meghe Institute of Medical Sciences Wardha, Maharashtra, India. PATIENTS: A total of 354 women meeting inclusion and exclusion criteria were included in the study, of which 178 women had undergone hysteroscopic targeted therapy while 176 women had undergone abdominal hysterectomy as surgical treatment for HMB. INTERVENTIONS: Group I – Hysteroscopic surgical procedure – polypectomy, endometrial resection, myomectomy. Group II – Hysterectomy – abdominal hysterectomy, vaginal hysterectomy, laparoscopic hysterectomy.) RESULTS: Health-related QOL assessed by Short Form 36 questionnaire response score was significantly better for women who underwent hysteroscopic targeted therapy was significantly better at both short-term and long-term follow-up. CONCLUSIONS: Both hysteroscopic procedures and hysterectomy when used as therapeutic modality for abnormal uterine bleeding/HMB (AUB/HMB) improve the quality of life when used as therapeutic option, and the improvement in QOL is significantly different at 6 months and 1 year while the improvement in QOL 1 week after surgery is better in hysteroscopy group when compared to hysterectomy group suggesting early improvement in QOL when hysteroscopic therapies are used as treatment modality for surgical management of HMB/AUB. |
format | Online Article Text |
id | pubmed-6643714 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-66437142019-08-07 Quality of Life after Hysterectomy and Uterus-Sparing Hysteroscopic Management of Abnormal Uterine Bleeding or Heavy Menstrual Bleeding Selvanathan, Sushma Acharya, Neema Singhal, Sonakshi J Midlife Health Original Article STUDY OBJECTIVE: To compare the effect on quality of life (QOL) of uterus-sparing hysteroscopic targeted therapy with that of hysterectomy as therapeutic surgical procedure for heavy menstrual bleeding (HMB). METHODS/METHODOLOGY: This was a prospective observational study. SETTING: Endoscopy unit, Department of Obstetrics and Gynecology, Datta Meghe Institute of Medical Sciences Wardha, Maharashtra, India. PATIENTS: A total of 354 women meeting inclusion and exclusion criteria were included in the study, of which 178 women had undergone hysteroscopic targeted therapy while 176 women had undergone abdominal hysterectomy as surgical treatment for HMB. INTERVENTIONS: Group I – Hysteroscopic surgical procedure – polypectomy, endometrial resection, myomectomy. Group II – Hysterectomy – abdominal hysterectomy, vaginal hysterectomy, laparoscopic hysterectomy.) RESULTS: Health-related QOL assessed by Short Form 36 questionnaire response score was significantly better for women who underwent hysteroscopic targeted therapy was significantly better at both short-term and long-term follow-up. CONCLUSIONS: Both hysteroscopic procedures and hysterectomy when used as therapeutic modality for abnormal uterine bleeding/HMB (AUB/HMB) improve the quality of life when used as therapeutic option, and the improvement in QOL is significantly different at 6 months and 1 year while the improvement in QOL 1 week after surgery is better in hysteroscopy group when compared to hysterectomy group suggesting early improvement in QOL when hysteroscopic therapies are used as treatment modality for surgical management of HMB/AUB. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6643714/ /pubmed/31391754 http://dx.doi.org/10.4103/jmh.JMH_15_19 Text en Copyright: © 2019 Journal of Mid-life Health http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Selvanathan, Sushma Acharya, Neema Singhal, Sonakshi Quality of Life after Hysterectomy and Uterus-Sparing Hysteroscopic Management of Abnormal Uterine Bleeding or Heavy Menstrual Bleeding |
title | Quality of Life after Hysterectomy and Uterus-Sparing Hysteroscopic Management of Abnormal Uterine Bleeding or Heavy Menstrual Bleeding |
title_full | Quality of Life after Hysterectomy and Uterus-Sparing Hysteroscopic Management of Abnormal Uterine Bleeding or Heavy Menstrual Bleeding |
title_fullStr | Quality of Life after Hysterectomy and Uterus-Sparing Hysteroscopic Management of Abnormal Uterine Bleeding or Heavy Menstrual Bleeding |
title_full_unstemmed | Quality of Life after Hysterectomy and Uterus-Sparing Hysteroscopic Management of Abnormal Uterine Bleeding or Heavy Menstrual Bleeding |
title_short | Quality of Life after Hysterectomy and Uterus-Sparing Hysteroscopic Management of Abnormal Uterine Bleeding or Heavy Menstrual Bleeding |
title_sort | quality of life after hysterectomy and uterus-sparing hysteroscopic management of abnormal uterine bleeding or heavy menstrual bleeding |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6643714/ https://www.ncbi.nlm.nih.gov/pubmed/31391754 http://dx.doi.org/10.4103/jmh.JMH_15_19 |
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