Abstract

Background: Hysterectomy is one of the common surgeries among women, most frequently performed in the 43-49 years age group, often near menopause. The preoperative diagnosis of hysterectomy is possible by clinical examinations and accurate paraclinical tests. There are various methods for hysterectomy such as abdominal, vaginal, and laparoscopic hysterectomy which are selected on the basis of the patient’s condition and available equipment and facilities. Regarding the point that hysterectomy results in the excision of the uterus from the body leading to infertility, it affects the personal and familial life of the patient while many people in Yazd, central Iran, are not aware of the causes of this surgical operation. Aim: To investigate the factors that lead to the need for hysterectomy. Methods: In this retrospective descriptive-analytic study, the records of 1403 patients who had presented to the medical center from March, 21st,2008 to March 21st, 2018 were surveyed. The data bank of the information of the patients undergoing hysterectomy is kept at Shahid Sadoughi Sub-specialty Hospital in Yazd, Iran. The extracted patients information included age, clinical signs before hysterectomy, type of surgery performed, and the pathology report of he uterus and related appendages. The gleaned data were analyzed using SPSS21 with Chi-square test used to compare the variables in different groups. Results: An investigation of the records of the patients undergoing hysterectomy showed that the highest rate of this surgery belonged to the 41-50 years age group. A comparison of the clinical signs of various age groups demonstrated that most clinical signs observed in all age groups undergoing hysterectomy were vaginal bleeding and abnormal secretions followed by abdominal and pelvic pain ranking as the second and third clinical signs. In the pathology report on the cervix and endometrium, reactive lesions were reported more frequently while benign lesions were reported on myometrium and ovaries. Conclusion: This study revealed that hysterectomy was most prevalent in this region in the 41-50 years age group and the pathology report mostly referred to reactive lesions and benign lesions. A comprehensive study of hysterectomy demands a greater study. Also, since hysterectomy negatively affects the personal and familial life of the patient, there is the need for a more extensive study of the life style and psychosocial condition of the patients after this surgery. © 2019 Lahore Medical And Dental College. All rights reserved.