Long-term outcomes of the total or supracervical hysterectomy trial

W. Jerod Greer, Holly E. Richter, Thomas L. Wheeler, R. Edward Varner, Jeff M. Szychowski, Miriam Kuppermann, Lee A. Learman

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Objective: Participants in the multicenter, randomized Total or Supracervical Hysterectomy (TOSH) trial showed within-group improvement in pelvic floor symptoms 2 years postsurgery and no differences between supracervical (SCH) versus total hysterectomy (TAH). This study describes longer term outcomes from the largest recruiting site. Methods: Questionnaires addressing pelvic symptoms, sexual function, and health-related quality of life (HRQOL) were administered. Linear models and McNemar test were used. Results: Thirty-seven participants (69%) responded (19 TAH, 18 SCH); mean follow up was 9.1 ± 0.7 years. No between-group differences emerged in urinary incontinence, voiding dysfunction, pelvic prolapse symptoms, and overall HRQOL. Within-group analysis showed significant improvement in the ability to have and enjoy sex (P = 0.002) and SF-36 physical component summary scores (P = 0.03) among women randomized to TAH. Conclusions: Nine years after surgery, TOSH participants maintained improvements in and show no major between-group differences in lower urinary tract or pelvic floor symptoms.

Original languageEnglish (US)
Pages (from-to)49-57
Number of pages9
JournalFemale Pelvic Medicine and Reconstructive Surgery
Issue number1
StatePublished - 2010


  • Health-related quality of life
  • Prolapse symptoms
  • Sexual function
  • Supracervical hysterectomy
  • Total abdominal hysterectomy

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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