Elective Hysterectomy at the University of Uyo Teaching Hospital: A 3-Year Review

Abstract

A 3-year review of elective hysterectomies performed at the University of Uyo Teaching Hospital was carried out. The aim was to determine the indications and outcome of elective hysterectomies performed in the center. Elective hysterectomy made up 10.5% of all gynaecological operations and 24.9% of all major gynaecological surgeries. An abdominal mass (34.1%) and the protrusion of a mass from the vagina (24.4%) were the most common presenting complaints, while uterine fibroids (39.0%) and utero-vaginal prolapse (24.4%) were the most common indications. Total abdominal hysterectomy with conservation of both ovaries (41.1%) and vaginal hysterectomy with pelvic floor repair (24.4%) were the most common procedures performed. The morbidity rate was 39.0% which was mainly from postoperative pyrexia (12.2%) and abnormal vaginal discharge (7.3%). All post-operative complications were more common in patients who underwent abdominal hysterectomy (34.1%) when compared to those following vaginal hysterectomy (4.9%). Hysterectomy is a relatively safe procedure in our center and uterine fibroids and utero-vaginal prolapse are its most common indications. With its increasing safety, more women in our environment would be encouraged to accept hysterectomy.

Key words: Elective hysterectomy, incidence, Uyo