Frequency of Diseases Requiring Hysterectomy: A Cross Sectional Study at Tertiary Care Hospitals in Peshawar

Frequency of Diseases Requiring Hysterectomy


  • . Abida Naseer Teaching Hospital, Kabir Medical College Gandhara University, Peshawar, Pakistan
  • Qandeel Kamal Type C Hospital Karak, Pakistan
  • Humaira Bibi Prime Teaching Hospital, Peshawar Medical College, Peshawar, Pakistan
  • Huma Sahibzada Naseer Teaching Hospital, Kabir Medical College Gandhara University, Peshawar, Pakistan
  • Amjad Ali Pediatric Surgery Unit, Medical Teaching Institute, Khyber Teaching Hospital, Peshawar, Pakistan



Indications, Abdominal Hysterectomy, Vaginal Hysterectomy


Hysterectomy, after cesarean section is the most common performed major surgical procedures all over the world. In the united states, 5.5/1000 women underwent hysterectomy in the years 2001 to 2005. Objective: To estimate the frequencies of different diseases that needs hysterectomy at Peshawar Medical College and its affiliate hospitals. Methods: This cross-sectional study was carried out from 3rd Oct, 2020 to 3rd Oct, 2021 at the Department of Obstetrics and Gynecology, Peshawar Medical College and its affiliated hospitals. Consecutive sampling was done and a sample size of 104 patients was obtained. Those patients who recently underwent abdominal or vaginal hysterectomies aged 25-60 years with history of any parity were included. Patients with co-morbid conditions such ischemic heart disease, chronic kidney disease, malignancies and other obstetric complications such as emergency cesarean hysterectomies were excluded. Results: Mean age with standard deviation was 48.55 ± 8.53. Mean and standard deviation for weight was 73.20 ± 6.103. Of total patients, 44 (42.3%) patients had symptomatic fibroid uterus, 29 (27.9%) patients had uterovaginal prolapse while 31 (29.8%) patients had abnormal uterine bleeding as indication for hysterectomy. Among these patients, 66 (63.5%) were subjected to abdominal hysterectomy while 38 (36.5%) went through vaginal hysterectomy. Conclusions: The most common disease that needs hysterectomy in our study was symptomatic leiomyomas of uterus followed by abnormal uterine bleeding due to other causes and uterovaginal prolapse.


Pandey D, Sehgal K, Saxena A, Hebbar S, Nambiar J, Bhat RG. An audit of indications, complications, and justification of hysterectomies at a teaching hospital in India. International Journal of Reproductive Medicine. 2014 Jan; 2014: 1-7. doi: 10.1155/2014/279273.

Hadi RA, Khan B, Anwar I. An Audit of Abdominal Hysterectomy. Journal of Medical Sciences. 2014 Dec; 22(4): 152-4.

Bansal N, PB H, Prasad V. An audit of indications and complications associated with elective hysterectomy at SVMCH and RC, Ariyur, Pondicherry. International Journal of Medical Research & Health Sciences. 2013; 2(2): 147-55. doi: 10.5958/j.2319-5886.2.2.018.

Lepine LA, Hillis SD, Marchbanks PA, Koonin LM, Morrow B, Kieke BA, et al. Hysterectomy surveillance—United States, 1980–1993. Morbidity and mortality weekly report: CDC Surveillance Summaries. 1997 Aug; 46(4): 1-5.

Zhao SZ, Wong JM, Arguelles LM. Hospitalization costs associated with leiomyoma. Clinical Therapeutics. 1999 Mar; 21(3): 563-75. doi: 10.1016/S0149-2918(00)88309-5.

Weir E. The public health toll of endometriosis. Canadian Medical Association Journal. 2001 Apr; 164(8): 1201.

Lee NC, Dicker RC, Rubin GL, Ory HW. Confirmation of the preoperative diagnoses for hysterectomy. American Journal of Obstetrics and Gynecology. 1984 Oct; 150(3): 283-7. doi: 10.1016/S0002-9378(84)90366-1.

Mahnert N, Kamdar N, Lim CS, Skinner B, Hassett A, Kocher KE, et al. Risk factors for emergency department visits after hysterectomy for benign disease. Obstetrics & Gynecology. 2017 Aug; 130(2): 296-304. doi: 10.1097/AOG.0000000000002146.

Anbreen F, Qadir S, Batool I, Babar R. An audit of gynaecological hysterectomy and uterovaginal prolapse revealing a need for safe motherhood. Gomal Journal of Medical Sciences. 2015 Oct; 13(4): 230-4.

Baral J, Gurung G, Kaudel SP, Chudal D, Shrestha P, Rana A. Hysterectomy in the Present Day for Dysfunctional Uterine Bleeding: a finding from Tertiary Care Hospital Nepal. Journal of Institute of Medicine. 2015 Feb; 38(1): 49-52.

Lonky NM, Mohan Y, Chiu VY, Park J, Kivnick S, Hong C, et al. Hysterectomy for benign conditions: Complications relative to surgical approach and other variables that lead to post-operative readmission within 90 days of surgery. Women's Health. 2017 Aug; 13(2): 17-26. doi: 10.1177/1745505717714657.

Johns A. Supracervical versus total hysterectomy. Clinical Obstetrics and Gynecology. 1997 Dec; 40(4): 903-13. doi: 10.1097/00003081-199712000-00026.

Hakkarainen J, Nevala A, Tomás E, Nieminen K, Malila N, Pitkäniemi J, et al. Decreasing trend and changing indications of hysterectomy in Finland. Acta obstetricia et gynecologica scandinavica. 2021 Sep; 100(9): 1722-9. doi: 10.1111/aogs.14159.

Tchartchian G, Bojahr B, Krentel H, De Wilde RL. Evaluation of complications, conversion rate, malignancy rate, and, surgeon's experience in laparoscopic assisted supracervical hysterectomy (LASH) of 1274 large uteri: A retrospective study. Acta Obstetricia et Gynecologica Scandinavica. 2022 Dec; 101(12): 1450-7. doi: 10.1111/aogs.14468.

Elliott CG, Murji A, Matelski J, Adekola AB, Chrzanowski J, Shirreff L. Unexpected malignancy at the time of hysterectomy performed for a benign indication: A retrospective review. Plos One. 2022 Apr; 17(4): e0266338. doi: 10.1371/journal.pone.0266338.

Manandhar T, Sitaula S, Thapa BD, Agrawal A, Thakur A. Prevalence of hysterectomy among gynecological surgeries in a tertiary care hospital. JNMA: Journal of the Nepal Medical Association. 2020 Dec; 58(232): 965. doi: 10.31729/jnma.5315.

Madhvani K, Curnow T, Carpenter T. Route of hysterectomy: a retrospective, cohort study in English NHS Hospitals from 2011 to 2017. BJOG: An International Journal of Obstetrics & Gynaecology. 2019 May; 126(6): 795-802. doi: 10.1111/1471-0528.15539.

Higgins C, Mcdonald R, Mol BW. Indications and surgical route for hysterectomy for benign disorders: a retrospective analysis in a large Australian tertiary hospital network. Archives of Gynecology and Obstetrics. 2022 Dec; 306(6): 2027-33. doi: 10.1007/s00404-022-06736-5.

Settnes A, Moeller C, Topsoee MF, Norrbom C, Kopp TI, Dreisler E, et al. Complications after benign hysterectomy, according to procedure: a population‐based prospective cohort study from the Danish hysterectomy database, 2004–2015. BJOG: An International Journal of Obstetrics & Gynaecology. 2020 Sep; 127(10): 1269-79. doi: 10.1111/1471-0528.16200.

Liang C, Liu P, Cui Z, Liang Z, Bin X, Lang J, et al. Effect of laparoscopic versus abdominal radical hysterectomy on major surgical complications in women with stage IA-IIB cervical cancer in China, 2004–2015. Gynecologic Oncology. 2020 Jan; 156(1): 115-23. doi: 10.1016/j.ygyno.2019.10.032.



DOI: 10.54393/pjhs.v4i04.651
Published: 2023-04-30

How to Cite

Abida , ., Kamal, Q. ., Bibi, H. ., Sahibzada, H. ., & Ali, A. (2023). Frequency of Diseases Requiring Hysterectomy: A Cross Sectional Study at Tertiary Care Hospitals in Peshawar: Frequency of Diseases Requiring Hysterectomy. Pakistan Journal of Health Sciences, 4(04), 181–184.



Original Article


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