The role of vaginal apex excision in the management of persistent posthysterectomy dyspareunia

Article Abstract:

Removing the top of the vagina may help relieve the symptoms of painful intercourse in women who have had a hysterectomy. This was the conclusion of a study of 13 women who were treated at a pelvic pain clinic.

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Challenging generally accepted contraindications to vaginal hysterectomy

Article Abstract:

Most women can still have a vaginal hysterectomy even if they have a large uterus, have never had children, or have had a previous cesarean delivery or pelvic laparotomy. During a vaginal hysterectomy, the surgeon pulls the uterus out through the vagina rather than through an abdominal incision.

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Subtotal hysterectomy in modern gynecology: a decision analysis

Article Abstract:

Total hysterectomy may be preferable to subtotal hysterectomy in women at low risk for cervical cancer. Total hysterectomy includes removing the cervix while subtotal hysterectomy leaves the cervix. Researchers reviewed the medical literature for studies comparing total versus subtotal hysterectomy and calculated the probabilities of complications. Rates of infection, hemorrhage, and injury to adjacent organs were similar with either type. Also similar were death rates from surgery, rates of developing cervical or vaginal cancer, and rates of long-term problems with sexual function or bladder control.

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