MENORRHAGIA

OUTCOME OF HYSTERECTOMIES AFTER 40 YEARS OF AGE.

Abstract

This was a prospective study on out come of hysterectomies performed
for menorrhagia after 40 years of age. Objective To determine the symptom profile, indications, route of surgery, intra
and post operative complications, histopathological results and satisfaction rate of women who underwent hysterectomy
for menorrhagia. Design: A prospective observational study, Setting: CMH Peshawar. Period: From June 2002 to May
2003. Materials & Methods: Hundred women with menorrhagia undergoing hysterectomy after 40 years of age were
selected for this study. Inclusion criteria were determined and patients were regularly followed starting from their
inclusion in the study till six weeks after surgery. Results: A questionnaire was designed to record the relevant
information. DUB was the main cause of menorrahgia in 68% of patients followed by leiomyoma uterus in 25%. These
results were confirmed by histopathology reports. Ninety eight percent of our patients were satisfied with the surgery.
Their symptom profile and quality of health was much improved after hysterectomy. Hysterectomy is the most common
major gynaecological operation. Intra and post operative complications rate was less in our patients when compared
with other international studies. This was due to proper selection of the patients and experience of the surgeons, as
100% hysterectomies were done either by consultant or senior registrars.