Vaginal hysterectomy at university of Abuja teaching hospital: A 5-year review

Background: Vaginal hysterectomy is associated with less morbidity and mortality. However, its use appears to be underutilized in most settings in Nigeria. Objectives: The objective of the study was to determine the incidence, indications, and outcome of vaginal hysterectomy at a Nigerian Teaching Hospital. Study Design: A retrospective study of all the hysterectomies performed in the Hospital between January 1, 2010 and December 31, 2014. Results: During the period of study, there were 902 major gynecological operations, of which vaginal hysterectomy accounted for 33, giving an incidence of 3.7%. Vaginal hysterectomy was highest among patients aged 60 years and above accounting for 54.6%. The most common indication for vaginal hysterectomy was uterovaginal prolapse constituting 75.8%. The complication rate was 27.3% with postoperative pyrexia constituting 57.1% of all the complications, while hemorrhage was the least, constituting 3.0%. There was no mortality recorded. Conclusion: The incidence of vaginal hysterectomy was 3.7%. Uterovaginal prolapse was the most common indication, while postoperative pyrexia was the most common complication found.