ABSTRACT
An elongated cervix should therefore be considered a relative contraindication to uterine preservation surgery. Decisions surrounding uterine preservation versus hysterectomy should be considered from both patient and physician perspectives, incorporating a variety of factors ranging from anatomical, health and general function, and psychosocial. In one study exploring patient preferences regarding uterine preservation and hysterectomy in females undergoing surgery for POP, Korbly et al. found that geographic region, educational level, and social class were predictors of preference for uterine preservation. Some studies have demonstrated that uterine preservation is associated with shorter operative time, less estimated blood loss, and a quicker recovery when compared with vaginal hysterectomy. Overall, surgical safety, and the risk of complications which in some cases may be related to patient-specific comorbidities and/or previous intra-abdominal surgery, must be factored into decisions relating to hysterectomy versus uterine preservation.
