Evaluation of the Quality of Life of Iraqi Patients Undergoing Hysterectomy and Determining the Logistic Regression for the Study
Keywords:
Hysterectomy, BMI, Women, QQL, Abdominal hysterectomy, Vaginal LaparoscopicAbstract
A total of 140 patients who had undergone hysterectomy due to uterine myoma were identified, of whom 112 completed the survey. A quality-of-life survey was conducted on all 112 patients who underwent hysterectomy with indications of uterine myoma at a specialized hospital within the network of hospitals affiliated with the Iraqi Health Service between 2023 and 2024. The hospitals included in the study were selected from a number of different hospitals.
The results of this study were designed to address the following questions: The analysis of the aspects of quality of life according to the EQ5D scale, in addition to the statistical analysis program IBM SOFT SPSS 22, was employed to analyse the data and demographic values of female patients and to ascertain the statistical differences in this study.
This study delineates the complications and final outcomes experienced by patients following surgical procedures. The most frequently occurring complications in the present study were as follows: The total number of cases identified as having a ureterovaginal fistula was five, representing 4.46% of the total number of cases. Additionally, bowel injury was observed in seven patients, representing 6.25% of the total number of cases.
This study concluded that the different dimensions of health-related quality of life and hysterectomy, when analysed separately, indicate a significant improvement in quality of life for Iraqi patients in all aspects of assessment.
References
Borimnejad L, Mohadeth Ardebili F, Jozee Kabiri F, Haghani H. Comparison of quality of life after hysterectomy in pre and post-menopause period in Iranian women. Iran J Obstet Gynecol Infertil. 2011; 13:39–45. [Google Scholar]
Selcuk S, Cam C, Asoglu MR, Kucukbas M, Arinkan A, Cikman MS, et al. Effect of simple and radical hysterectomy on quality of life–analysis of all aspects of pelvic floor dysfunction. Eur J Obstet Gynecol Reprod Biol. 2016; 198:84–8. Doi: 10.1016/j.ejogrb.2016.01.008. [DOI] [PubMed] [Google Scholar]
Radosa JC, Meyberg-Solomayer G, Kastl C, Radosa CG, Mavrova R, Gräber S, et al. Influences of different hysterectomy techniques on patients' postoperative sexual function and quality of life. J Sex Med. 2014; 11:2342–50. Doi: 10.1111/jsm.12623. [DOI] [PubMed] [Google Scholar]
Balestroni G, Bertolotti G. EuroQol-5D (EQ-5D): An instrument for measuring quality of life. Monaldi Arch Chest Dis. 2012; 78:155–9. Doi: 10.4081/monaldi.2012.121. [DOI] [PubMed] [Google Scholar]
Medhi P, Dowerah S, Borgohain D. A histopathological audit of hysterectomy: Experience at a tertiary care teaching hospital. Int J Contemp Med Res. 2016; 3:1226–8. [Google Scholar]
Theunissen M, Peters ML, Schepers J, Maas JW, Tournois F, van Suijlekom HA, et al. Recovery 3 and 12 months after hysterectomy: Epidemiology and predictors of chronic pain, physical functioning, and global surgical recovery. Medicine (Baltimore) 2016;95: e3980. Doi: 10.1097/MD.0000000000003980. [DOI] [PMC free article] [PubMed] [Google Scholar]
Theunissen M, Peters ML, Schepers J, Schoot DC, Gramke HF, Marcus MA. Prevalence and predictors of depression and well-being after hysterectomy: An observational study. Eur J Obstet Gynecol Reprod Biol. 2017; 217:94–100. Doi: 10.1016/j.ejogrb.2017.08.017. [DOI] [PubMed] [Google Scholar]
Borimnejad L, Mohadeth Ardebili F, Jozee Kabiri F, Haghani H. Comparison of quality of life after hysterectomy in pre- and post-menopause period in Iranian women. Iran J Obstet Gynecol Infertil. 2011; 13:39–45. [Google Scholar]
Selcuk S, Cam C, Asoglu MR, Kucukbas M, Arinkan A, Cikman MS, et al. Effect of simple and radical hysterectomy on quality of life–analysis of all aspects of pelvic floor dysfunction. Eur J Obstet Gynecol Reprod Biol. 2016; 198:84–8. Doi: 10.1016/j.ejogrb.2016.01.008. [DOI] [PubMed] [Google Scholar]
Radosa JC, Meyberg-Solomayer G, Kastl C, Radosa CG, Mavrova R, Gräber S, et al. Influences of different hysterectomy techniques on patients' postoperative sexual function and quality of life. J Sex Med. 2014; 11:2342–50. Doi: 10.1111/jsm.12623. [DOI] [PubMed] [Google Scholar]
Balestroni G, Bertolotti G. EuroQol-5D (EQ-5D): An instrument for measuring quality of life. Monaldi Arch Chest Dis. 2012; 78:155–9. Doi: 10.4081/monaldi.2012.121. [DOI] [PubMed] [Google Scholar]
Medhi P, Dowerah S, Borgohain D. A histopathological audit of hysterectomy: Experience at a tertiary care teaching hospital. Int J Contemp Med Res. 2016; 3:1226–8. [Google Scholar]
Theunissen M, Peters ML, Schepers J, Maas JW, Tournois F, van Suijlekom HA, et al. Recovery 3 and 12 months after hysterectomy: Epidemiology and predictors of chronic pain, physical functioning, and global surgical recovery. Medicine (Baltimore) 2016;95: e3980. Doi: 10.1097/MD.0000000000003980. [DOI] [PMC free article] [PubMed] [Google Scholar]
Theunissen M, Peters ML, Schepers J, Schoot DC, Gramke HF, Marcus MA. Prevalence and predictors of depression and well-being after hysterectomy: An observational study. Eur J Obstet Gynecol Reprod Biol. 2017; 217:94–100. Doi: 10.1016/j.ejogrb.2017.08.017. [DOI] [PubMed] [Google Scholar]
Hammer A, Rositch AF, Kahlert J, Gravitt PE, Blaakaer J, Søgaard M. Global epidemiology of hysterectomy: possible impact on gynecological cancer rates. Am J Obstet Gynecol. 2015; 213 (1): 23-29. Doi:10.1016/j.ajog.2015.02.019
Hehenkamp WJK, Volkers NA, Bartholomeus W, et al. Sexuality and body image after uterine artery embolization and hysterectomy in the treatment of uterine fibroids: a randomized comparison. Cardiovasc Intervent Radiol. 2007; 30: 866-875. Doi:10.1007/s00270-007-9121-7
Laughlin-Tommaso SK, Khan Z, Weaver AL, Smith CY, Rocca WA, Stewart EA. Cardiovascular and metabolic morbidity after hysterectomy with ovarian conservation: a cohort study. Menopause. 2018; 25 (5): 483-492. Doi:10.1097/GME.0000000000001043
Radosa JC, Meyberg-Solomayer G, Kastl C, et al. Influences of different hysterectomy techniques on patients' postoperative sexual function and quality of life. J Sex Med. 2014; 11: 2342-2350. Doi:10.1111/jsm.12623
American College of Obstetricians and Gynecologists. ACOG practice bulletin. Alternatives to hysterectomy in the management of leiomyomas. Obstet Gynecol. 2008; 112 (2 Pt 1): 387-400.
Nicholson WK, Wegienka G, Zhang S, et al. Short-term health-related quality of life after hysterectomy compared with myomectomy for symptomatic leiomyomas. Obstet Gynecol. 2019; 134: 261-269. Doi:10.1097/AOG.0000000000003354
Ball E, Khan KS. Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis. F1000Research. 2020; 9: 83. Doi:10.12688/f1000research.20750.1
Leppert PC, Legro RS, Kjerulff KH. Hysterectomy and loss of fertility: implications for women's mental health. J Psychosom Res. 2007; 63: 269-274. Doi: 10.1016/j.jpsychores.2007.03.018
