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Abstract
Objective: The purpose of this study was to assess understanding of the hysterectomy procedure and uterine fibroids among women in a general gynecology clinic.Materials and Methods: This was an anonymous cross-sectional survey. We adapted and pilot tested a survey instrument designed to assess understanding of the hysterectomy procedure and of uterine fibroids. The final version of the survey consisted of basic demographic questions, followed by 28 knowledge questions (Canadian Task Force Classification II-2). The survey was disseminated to women in the waiting room of one of our gynecology clinics. The patient population included women 18 years and older.Results: The mean age of respondents was 33.5 years old. In total, 69.5% of the respondents had at least some college education. In the group of questions related to different types of hysterectomies, the most poorly answered question was “Which type of hysterectomy has the highest risk of damage to the bladder?” Less than 40% of the respondents were able to identify a laparoscopic and robotic hysterectomy based on a written description. Of questions about uterine fibroids, the most poorly answered question was whether cancer that looks like fibroids is common, with >90% of the respondents incorrectly thinking that cancer that resembled fibroids is common. More than half of respondents did not know what a fibroid is.Conclusions: In this analysis of the understanding of the hysterectomy procedure and fibroids among an educated population, overall understanding was poor. Specific areas where knowledge was particularly poor were the different ways of doing a hysterectomy and uterine fibroids.
Highlights
Over 20 million women have had a hysterectomy, making hysterectomies the most common gynecological procedure, with >600,000 performed each year.[1,2] Leiomyoma, abnormal uterine bleeding, benign ovarian neoplasm, endometriosis, pelvic organ prolapse, and gynecologic cancer are the main reasons women get hysterectomies.[3]
In the group of questions related to different types of hysterectomies, the most poorly answered question was ‘‘Which type of hysterectomy has the highest risk of damage to the bladder?’’ Less than 40% of the respondents were able to identify a laparoscopic and robotic hysterectomy based on a written description
We created an assessment tool to evaluate women’s understanding of the hysterectomy procedure and uterine fibroids that has promising characteristics, such as a Cronbach alpha coefficient of 0.85 that suggests high reliability. In this analysis of understanding of the hysterectomy procedure and fibroids, we found that overall understanding was poor
Summary
Over 20 million women have had a hysterectomy, making hysterectomies the most common gynecological procedure, with >600,000 performed each year.[1,2] Leiomyoma, abnormal uterine bleeding, benign ovarian neoplasm, endometriosis, pelvic organ prolapse, and gynecologic cancer are the main reasons women get hysterectomies.[3] There are multiple surgical approaches to hysterectomy, including abdominal, vaginal, laparoscopic, and robotic. Leiomyomas are the most common pelvic tumors in women, resulting in a great impact on quality of life, morbidity, and economic burden.
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