Long-term outcomes of the total or supracervical hysterectomy trial

Academic Article


  • 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. Copyright © 2010 by Lippincott Williams & Wilkins.
  • Digital Object Identifier (doi)

    Author List

  • Greer WJ; Richter HE; Wheeler TL; Varner RE; Szychowski JM; Kuppermann M; Learman LA
  • Start Page

  • 49
  • End Page

  • 57
  • Volume

  • 16
  • Issue

  • 1