Clinical Profile and Surgical Outcome of Non-Descent Vaginal Hysterectomy

Open Access

Abstract

Background: Hysterectomy is one of the most commonly performed gynecological surgeries for benign uterine conditions in women. The choice of surgical route significantly influences perioperative outcomes and recovery time. Non-descent vaginal hysterectomy has gained attention as a minimally invasive alternative to abdominal hysterectomy in women without uterovaginal prolapse. Objective: This study aimed to evaluate the clinical profile and surgical outcomes of non-descent vaginal hysterectomy in women with benign uterine pathologies. Methods & Materials: This prospective observational study was conducted at the Department of Obstetrics and Gynaecology, Bangladesh Medical University, Dhaka, from January to December 2025. Sixty women with benign uterine conditions and uterine size ≤14 weeks who underwent non-descent vaginal hysterectomy were included. Demographic characteristics, indications, intraoperative findings, complications, hemoglobin drop and duration of hospital stay were recorded and analyzed using SPSS version 25.0. Results: The mean age of the participants was 46.8 ± 5.2 years. Symptomatic fibroid uterus (40.0%) and abnormal uterine bleeding (30.0%) were the most common indications for surgery. Debulking procedures were performed in 36.7% of the cases. The mean operative time was 64.5 ± 12.8 minutes and the mean estimated blood loss was 182 ± 48 ml. Intraoperative complications occurred in 8.3% of the patients. Postoperative complications were observed in 16.7% of patients, with febrile morbidity being the most frequent. The mean hospital stay was 3.2 ± 0.9 days. Conclusion: Non-descent vaginal hysterectomy is a safe, feasible and efficient surgical option for benign uterine conditions, offering low morbidity and rapid postoperative recovery.