Vaginal Hysterectomy for Benign Nonprolapsed Uterus-Initial Experience

OBJECTIVE To determine the feasibility and safety of vaginal hysterectomy for benign nonprolapsed uteri. METHODS Eighty consecutive women with nonprolapsed uteri requiring hysterectomy for benign uterine conditions, without suspected adnexal disease, were treated prospectively by vaginal hysterectomy. Operating time, estimated blood loss, surgical techniques, operative complications, conversion to laparotomy when needed and length of hospital stay were recorde d for each case . RESULTS Vaginal hy sterectomy was successful in 76 women (95%). Morcellat ion, hemisection, myomectomy, were done in 60 cases (75%).The operating time, est im ated blood loss, conversion to laparotomy were directly proportional to the size of the uterus. Two bladder injuries occurred; one w as repaired transvaginally and the other one required laparotomy. Three women needed blood transfusion. Four conversions to laparotomy were necessary. CONCLUSION Vaginal hysterectomy is a safe and effective procedure for benign nonprolapsed uteri especially when uterine size is less than 12 weeks.