TY - JOUR A1 - Igbodike, Emeka A1 - Adepiti, Clement A1 - Ubom, Akaninyene A1 - Ajenifuja, Kayode A1 - Loto, Olabisi A1 - Fasubaa, Olusola A1 - Onwudiegwu, Uche A1 - Orji, Okechukwu T1 - Trends in vaginal hysterectomy in a Nigerian teaching hospital: A 14-year review Y1 - 2020/1/1 JF - Tropical Journal of Obstetrics and Gynaecology JO - Trop J Obstet Gynaecol SP - 160 EP - 166 VL - 37 IS - 1 UR - https://www.tjogonline.com/article.asp?issn=0189-5117;year=2020;volume=37;issue=1;spage=160;epage=166;aulast=Igbodike DO - 10.4103/TJOG.TJOG_20_20 N2 - Background: The procedure of vaginal hysterectomy is a fast disappearing art. This study looks at 14 years' experience of vaginal hysterectomy in Ile-Ife, Nigeria. Objectives: To determine and compare the rate, indications, and complications of vaginal hysterectomy over a 14-year period at Ile-Ife, Nigeria. Methods: The medical records of patients managed with vaginal hysterectomies performed from 1st January 2005 to 31st December 2018 were reviewed. The demographics and indications for vaginal hysterectomy were extracted. Data were analyzed using Statistical Package for Service Solutions – IBM version 22. Frequencies and percentages were calculated and associations compared where applicable using Chi-square with level of significance set at <0.05. Results: Pelvic organ prolapse accounted for 0.8% of gynecological admissions and vaginal hysterectomy accounted for 2.3% of major gynaecological operations. The mean age was 66.1 ± 9.2 years with a mean age of menopause of 15.2 ± 7.1 years. The mean parity was 6.2 ± 1.6. Pelvic organ prolapse was the commonest indication. The mean blood loss at surgery was 314.2 ± 184.8 ml. The modal post-operative complication was post-operative anemia, and hypertension was the commonest comorbidity. The mean duration of surgery was 3 ± 0.9 h and the mean duration of admission was 5.4 ± 2.7 days. Conclusion: The rate of vaginal hysterectomy is on the decline. This may be due to case under reporting, limiting of family size, or low uptake of farming occupation in our society. ER -