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Hysterectomy type makes little difference in later sexual function

ng cyclical vaginal bleeding with subtotal hysterectomy. Almost 12 percent of women having subtotal hysterectomy were experiencing ongoing bleeding one year after surgery was completed, compared to fewer than 1 percent of women having total hysterectomy.

"I've had patients who have had cyclical bleeding after subtotal hysterectomy, but most patients state that it's just a nuisance issue," said Sharp. "However, if definitive treatment is what they want, I make sure that I counsel them about the potential for post-hysterectomy spotting with subtotal hysterectomy."

According to Lethaby, the review cannot be considered definitive, due to the small number of studies that have compared total and subtotal hysterectomy and the fact that fewer than a thousand women were enrolled.

"While the risks and benefits are clear in the review, more research is required before we can be confident of the findings," she said.


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Contact: Anne Lethaby
a.lethaby@auckland.ac.nz
Center for the Advancement of Health
12-May-2006


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