Patient-reported outcomes after hysterectomy due to pelvic organ prolapse versus other indications – a 10-year national follow-up study
Year: 2026
Type: article
Study design: Observational Study
Abstract: BACKGROUND: We compared short- and long-term patient-reported satisfaction and outcomes after hysterectomy between women with and without pelvic floor dysfunction at the time of hysterectomy. METHODS: The nationwide prospective FINHYST cohort was divided into two groups according to the indication for hysterectomy: those with pelvic organ prolapse (POP) with or without urinary incontinence (POPUI) (n = 1323) and those with other benign indications (non-POPUI, n = 2641). Outcomes were assessed via questionnaires at two months for all women and at ten years for the Helsinki University Hospital (HUH) subgroup (n = 838). The primary outcome was patient satisfaction measured by a visual analogue scale (VAS, 0-100); secondary outcomes included patient-reported outcomes and adverse events. RESULTS: Satisfaction was high at two months (mean VAS 88.1 POPUI vs. 89.8 non-POPUI, n.s) and remained high at ten years (89.2 POPUI vs. 92.5 no POPUI, p < 0.01). Women without POPUI reported greater satisfaction at ten years. At two months, fewer women in POPUI group had VAS scores under 70 compared to those in non-POPUI group (9.0% vs. 11.5%, p < 0.02). In both groups, the strongest predictors of dissatisfaction were reoperation, wound infection, and inadequate pain relief. At ten years, women with POPUI reported more frequently low VAS scores, (VAS < 70: 11.7% vs. 7.0%), persisted pelvic floor symptoms (86.7% vs. 64.0%, p < 0.01), and reoperations for POP (20.7% vs. 2.3%, p < 0.01). CONCLUSIONS: Short- and long term satisfaction following hysterectomy is high. Hysterectomy due to POP was associated with recurrent patient-reported pelvic floor symptoms, reoperations and higher risk of complications, reducing long-term satisfaction.
Source: BMC Women s Health
Language: English
Subfield: Rheumatology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,890
OpenAlex ID: W7127584583