VAGINAL HYSTERECTOMY IN NULLIPAROUS WOMEN

Stephen L. Larson, M.D.


   Purpose: To evaluate frequency and outcome of vaginal hysterectomy performed in nulliparous patients in a private practice.

   Methods: Review of a gynecologist’s experience of 1651 hysterectomies, with analysis of nulliparas who had vaginal hysterectomy.

   Results: Of 1297 vaginal hysterectomy patients, 118 (9.1%) had no term pregnancies. 74 uteri were morcellated, and 69 oophorectomies accomplished. Laparoscopic assistance was required in 10 cases. Complications occurred in 6 patients, mainly benign cystotomies.

   Conclusion: Vaginal hysterectomy (including oophorectomy) is feasible in nulliparous patients. It may be assisted by uterine morcellation and/or laparoscopy.