To determine the prevalence and outcome of hysterectomy at the Douala General Hospital, Cameroon.
We carried out a descriptive, hospital-based cross-sectional study during the period January 1, 2005 to December 31, 2015. Retrospectively, we studied medical records and theatre registers of women who underwent hysterectomy. Using pre-specified criteria for data collection, we administered a pre-tested questionnaire in which socio-demographic factors, clinical characteristics, indication, type, hospital stay, and complications of hysterectomy were recorded. Data management was with Epi-info and analyzed with STATA version 10 (Stata Corp, Texas, USA).
The prevalence of hysterectomy was 14.54%; mean age 45.76 (SD 7.7) and 18.7% respondents had a previous cesarean delivery. Multiple leiomyomas (58.2%) and heavy vaginal bleeding (60.6%) were the main diagnoses for hysterectomy. Most respondents (79.5%) underwent total abdominal hysterectomy. The mean hospital length of stay was 6.07 (SD 1.92) days and average work experience of gynecologists was 8.6 (SD 1.1) years. Most complications (79.5%) were from total abdominal hysterectomy (p = 0.01).
One in seven women under age 45 with a diagnosis of multiple uterine fibroids and heavy vaginal bleeding undergo hysterectomy at the Douala General Hospital. There is a significant post-operative complication rate.