Health-related quality of life after laparoscopically assisted vaginal hysterectomy: Is uterine weight a major factor?

Pao Ling Torng, Wen Chun Chang, Jing Shiang Hwang, Wen Chiung Hsu, Jung Der Wang, Su Cheng Huang, Chen Fang Chen, Ta Chen Su

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

Objective: To assess uterine size, symptom severity, and hemoglobin level as determinants of health-related quality of life (HRQOL) in women subsequently undergoing laparoscopically assisted vaginal hysterectomy (LAVH). Methods: Sixty-one consecutive women with uterine leiomyoma or adenomyosis undergoing LAVH were studied using a prospective cohort design. The Chinese version of the Uterine Fibroid Symptom and Quality of Life (UFS-QOL) questionnaire was assessed preoperatively. The Taiwan brief version of the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire and a self-assessment of the perceived health status were assessed preoperatively and 1 day, 1 week, 12 weeks, and 18 months postoperatively. Results: Women with a greater uterine weight did not report a greater severity of symptoms than those with lower uterine weight. Women with more severe symptoms had lower preoperative hemoglobin levels and were usually younger. Their perceived health status and their scores in physical domain of WHOQOL-BREF were also significantly lower, indicating a poorer HRQOL. The mixed-effects model found that a normal (higher) baseline hemoglobin level and a greater symptom severity were associated with a significant improvement of HRQOL in the physical domain of WHOQOL-BREF following LAVH. Conclusions: Preoperative symptom severity, but not uterine weight, was associated with long-term improvement in HRQOL after LAVH. Women with severe symptoms could be considered for LAVH before development of anemia.

Original languageEnglish
Pages (from-to)227-237
Number of pages11
JournalQuality of Life Research
Volume16
Issue number2
DOIs
Publication statusPublished - 2007 Mar

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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