Impact of vaginal hysterectomy on total vaginal length.

Kim, Mi La; Lee, Won Sik; Kim, Joo Myung; Cho, Yeon Jean; Joo, Kwan Young; Choi, Kyu Hong; Lee, In Kook; Kim, Jae Joon

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Original Article

Korean Journal of Obstetrics & Gynecology 2007;50(11):1532-1537.
Published online November 1, 2007.

Impact of vaginal hysterectomy on total vaginal length.

Mi La Kim, Won Sik Lee, Joo Myung Kim, Yeon Jean Cho, Kwan Young Joo, Kyu Hong Choi, In Kook Lee, Jae Joon Kim

¹Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea. dr66205@naver.com
²Department of Obstetrics and Gynecology, Chung-ang University Medical Center, Chung-ang University School of Medicine, Seoul, Korea.

Abstract

OBJECTIVE
The purpose of this study was to evaluate the impact of vaginal hysterectomy on total vaginal length (TVL). METHODS: Retrospective analysis of 155 medical records of patients underwent vaginal hysterectomy by one surgeon with benign uterine pathology in the absence of prolapse between January 2004 and February 2007. After hysterectomy, uterosacral vaginal vault resuspension (anchoring to vaginal vault about 1.0~1.5 cm proximal at the ligament) was performed for prevention of vault prolapse. Patients' characteristics and TVL before and after surgery were evaluated. RESULTS: Preoperative mean TVL was 7.32+/-0.84cm. At two months after the surgery, mean TVL was 7.42+/-0.77 cm. The change of vaginal length was statistical significance (P=0.045). Eighty-one patients were reevaluated at five to twelve months after surgery, mean TVL was longer than the preoperative results (7.3+/-0.82 cm vs 7.48+/-0.78 cm, P=0.011). We evaluated 30 patients who were followed at least 12 months after the surgery, the length was longer than the preoperative results, also (7.17+/-0.81 cm vs 7.46+/-0.66 cm, P=0.006). CONCLUSION: Although that appears to be statistically significant elongation of the total vaginal length after vaginal hysterectomy, the impact is unlikely to be clinically significant.

Key Words: Total vaginal length (TVL), Vaginal hysterectomy

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