The aims are to review respectively 229 cases of hysterectomy and to find the factor\naffecting the decision of vaginal hysterectomy. Data collected from medical charts\ninclude age, nationality, parity, menopause, history of Dilation and curettage. The\nfollowing data were obtained: the clinical presentation and the indication for hysterectomy.\nPostoperative complication includes the estimated blood loss, the number\nof days in hospital and ICU admission recorded. The route of hysterectomy found\nthat 187 (82%) were abdominal and only 42 (18%) were vaginal. Factors significantly\nassociated with the choice of vaginal approach: age, parity, smaller uterine size and\nprolapse. Factors affecting the decision of vaginal hysterectomy for treatment of benign\ndiseases are identified as follows: if the age is more than 35 years or if the women\nalready reach menopause, the presenting symptoms are not vaginal bleeding but\nprolapsed uterus and uterine size is less than 12 weeks.
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