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Retaining cervix during hysterectomy 'has no benefits'

Retaining cervix during hysterectomy 'has no benefits'
2nd November 2007

A kind of hysterectomy which leaves the cervix intact has no benefits over total hysterectomy, a new report has concluded.

There are no significant improvements in postsurgical outcomes for supracervical hysterectomy, according to a new Committee Opinion released by The American College of Obstetricians and Gynecologists (ACOG).

Moreover, the supracervical procedure raises the risk of future problems because the retained cervix may require additional surgery.

The body of existing research suggests that the risk of urinary incontinence is unaffected by the type of hysterectomy. Similarly, there was no difference in post-operative accounts of frequency of sex, frequency and quality of orgasm and body image between patients who had had the two types of procedure.

Dr Denise Jamieson, chair of ACOG's Committee on Gynaecologic Practice, said: "There has been renewed interest in supracervical hysterectomy as a way to reduce operative complications and reduce the effects of hysterectomy on urinary and sexual function. Unfortunately, these possible benefits are not supported by recent evidence."

'Supracervical Hysterectomy' is published in the November 2007 issue of Obstetrics & Gynecology.

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