Uterine leiomyoma: influence of the method of surgery on a woman's quality of life

Objective. То determine the changes in the quality of life in patients with uterine leiomyoma after various methods of surgical treatment. Materials and methods. The patients who underwent a planned surgery for uterine leiomyoma at Central City Hospital No. 7 in Yekaterinburg participated in the study. The validated questionnaire SF-36 “Assessment of the Quality of Life” was used; the patients filled it in before and 2 months after the surgery. The respondents were randomized into groups: those who underwent total hysterectomy (n = 20), subtotal hysterectomy (n = 20) or myomectomy (n = 20). The results are presented as median values and standard deviations. Results. The quality of life of women has improved after the surgical treatment for uterine leiomyoma. The average quality of life indicator increased after subtotal hysterectomy by 13,2 (9,2) %, after myomectomy – by 16,6 (8,1) %, after total – by 21,6 (5,1) %. Conclusions. Any method of surgery for uterine leiomyomas improves the quality of life of women. After total hysterectomy, the quality of life indicators are higher than after subtotal variant and organ-preserving operations.