Evidence map›Paper›PMID 42063059›Full record

Trial reportBMC women's health2026

The value of posterior colpotomy first technique on the vaginal length during total abdominal hysterectomy.

Mohamed N Farid, Bahaa M Hammad, Hany Saad, Asmaa Am Abdelfattah, Ahmed Mohamed Maged, Mohamed Rm Soliman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Mohamed N FaridDepartment of Obstetrics and Gynecology, Kasr Al-Ainy Hospital, Cairo University, Cairo, Egypt.
Bahaa M HammadDepartment of Obstetrics and Gynecology, Kasr Al-Ainy Hospital, Cairo University, Cairo, Egypt.
Hany SaadDepartment of Obstetrics and Gynecology, Kasr Al-Ainy Hospital, Cairo University, Cairo, Egypt.
Asmaa Am AbdelfattahDepartment of Obstetrics and Gynecology, Cairo university students' hospital, Cairo, Egypt.
Ahmed Mohamed MagedDepartment of Obstetrics and Gynecology, Kasr Al-Ainy Hospital, Cairo University, Cairo, Egypt. prof.ahmedmaged@gmail.com.
Mohamed Rm SolimanDepartment of Obstetrics and Gynecology, Kasr Al-Ainy Hospital, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the role of posterior colpotomy first technique in preserving vaginal length and support with total abdominal hysterectomy (TAH). MATERIALS AND

methodsEighty women candidate for TAH for benign lesion were randomly assigned to either classical technique (40 women) or posterior colpotomy first technique (40 women). The primary outcome parameter was the total vaginal length and shortening measured 3 months after the procedure.

resultsThe operative time was significantly longer in the posterior colpotomy group compared to classic group (106.28 ± 8.3 vs. 95.18 ± 18.35 min, P < 0.001). Total vaginal shortening was significantly lower in the posterior colpotomy group compared to classic group (0.99 ± 0.3 vs. 2.4 ± 0.8, P < 0.001). The number of women with postoperative dyspareunia was significantly lower in the posterior colpotomy group compared to classic group (4/40 (10%) vs. 8/40 (20%), P = 0.011). The female sexual function index score was significantly higher in the posterior colpotomy group compared to classic group (28.5 ± 2.5 vs. 24.19 ± 1.76, P = 0.038).

conclusionThe posterior colpotomy first technique is associated with less shortening of the total vaginal length, less occurrence of dyspareunia, and higher female sexual function index score compared to the classic approach for TAH.

Indexed as

ColpotomyHysterectomyDyspareuniaFemaleHumansMiddle AgedOperative TimePostoperative ComplicationsTreatment OutcomeVaginaHysterectomyPosterior colpotomySexual functionVaginal length

Identifiers

PMID42063059
PMCPMC13141387

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.