Increased complication rates in vaginal hysterectomy in genital tuberculosis

Abstract

Purpose: To evaluate the complication rate in women with genital tuberculosis undergoing vaginal hysterectomy.

Methods: A retrospective study of seven women who underwent vaginal hysterectomy and anterior and posterior colpoperineorraphy for uterovaginal prolapse and found to have genital tuberculosis and 63 women who underwent vaginal hysterectomy during the same period without genital TB.

Results: The mean age was 52.7 in the study group as compared to 47.4 years in the control group. Indications for surgery were genital prolapse in 7 (100%) women in group I, 43 (68.25%) in group II, AUB in 0 and 6 (9.5%), CIN III in 0 and 5 (7.9%), fibroid up to 10 weeks in 0 and 9 (14.31%) in group I and II, respectively. Surgery performed in group I was vaginal hysterectomy and pelvic floor repair in 7 (100%) and 43 (68.25%) in group II, while it was nondescent vaginal hysterectomy in 0 and 20 (31.7%) cases respectively. There was very high rate of complications in vaginal hysterectomy done in genital tuberculosis as compared to controls like excessive bleeding in 2 (28.56%) versus 3 (4.76%); need for relaparotomy in 1 (14.28%) case versus 0 in control; postoperative peritonitis and flare-up in 4 (57.14%) cases versus 0 in groups I and II respectively.

Conclusion: Vaginal hysterectomy is associated with higher complication rate in women with genital tuberculosis.