Quality of Life Research

, 16:227

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
Article

DOI: 10.1007/s11136-006-9123-y

Cite this article as:
Torng, PL., Chang, WC., Hwang, JS. et al. Qual Life Res (2007) 16: 227. doi:10.1007/s11136-006-9123-y

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.

Keywords

LAVHUFS-QOLUterine adenomyosisUterine leiomyomaWHOQOL-BREF

Copyright information

© Springer Science+Business Media B.V. 2006

Authors and Affiliations

  • Pao-Ling Torng
    • 1
  • Wen-Chun Chang
    • 1
  • Jing-Shiang Hwang
    • 2
  • Wen-Chiung Hsu
    • 1
  • Jung-Der Wang
    • 3
    • 4
  • Su-Cheng Huang
    • 1
  • Chen-Fang Chen
    • 3
  • Ta-Chen Su
    • 4
  1. 1.Department of Obstetrics and Gynecology, National Taiwan University HospitalNational Taiwan University College of MedicineTaipeiTaiwan
  2. 2.Institute of Statistical ScienceAcademia SinicaTaipeiTaiwan
  3. 3.Institute of Occupation Medicine and Industrial Hygiene, College of Public HealthNational Taiwan UniversityTaipeiTaiwan
  4. 4.Department of Internal Medicine, National Taiwan University HospitalNational Taiwan University College of MedicineTaipeiTaiwan