Do women express regret after hysterectomy?
Sangha R, Saeed H, Bossick A, and Wegeinka G. Do women express regret after hysterectomy? J Minim Invasive Gynecol 2017; 24(7):S38-S39.
J Minim Invasive Gynecol
Study Objective: To investigate regret after hysterectomy over time. Design: Prospective Cohort Study. Setting: Henry Ford Health System, Detroit, MI. Patients:Women who had planned to have a hysterectomy for non-cancer reasons. Intervention: Hysterectomy by any route. Measurements and Main Results: Women were recruited via telephone for this longitudinal study. 346 women are currently enrolled in the study and these are data from those 73, who had their surgery ≥1 year ago. They completed questionnaires about their health and decision to have a hysterectomy within 14 days prior to surgery and at 3,6 and 12-months postsurgery. The Patient Health Questionnaire-9 (PHQ-9) was used to measure depression severity. The Decision-Regret Scale was used to assess regret. Of these 73 cases, 24 were open and 49 underwent minimally invasive hysterectomy(MIH).Median uterine weight was 371 gm in open vs 150 gm for the MIH. Overall, mean±SD Decision-Regret scores at baseline and 12 (Table presented) months were: 10.6.0 ± 1.5 and 9.7 ± 2.0. At 1 year after surgery, the Decision-Regret scores were 10.3 ± 2.3 in the open and 9.5 ± 1.9 in the MIH group; these mean scores were lower than the mean scores in the 14 days prior to surgery 11.3 ± 1.8 in the open group and 10.5 ± 1.4 in the MIH group., and also lower than at 3 and 6 months. Also, overall, the pain and depression scores in both groups decreased over time as well, even though the MIH group started off with slightly higher scores for pain (2.9 ± 3.0 vs 1.5 ± 2.5), and depression (5.9 ± 5.1 vs 4.4 ± 4.6). Conclusion: Preliminary data suggest that women do not express regret after hysterectomy, regardless of route. It appears that the MIH group has smaller uteri, are younger and have higher pain and depression scores at baseline. Recruitment and follow-up are ongoing, thus analyses will continue with a larger sample size.