Prevalence, Indications and Factors Associated with Early Surgical Outcomes of Hysterectomy at Three Academic Hospitals in Tanzania

Edwin Deus Mashola; Athanase Gervase Lilungulu; Maria Angelica Rweyemamu; Ipyana Hudson Mwampagatwa

doi:10.36948/ijfmr.2026.v08i03.80546

Prevalence, Indications and Factors Associated with Early Surgical Outcomes of Hysterectomy at Three Academic Hospitals in Tanzania

Author(s)	Dr. Edwin Deus Mashola, Dr. Athanase Gervase Lilungulu, Dr. Maria Angelica Rweyemamu, Prof. Ipyana Hudson Mwampagatwa
Country	Tanzania
Abstract	Introduction: Hysterectomy is a common gynaecological procedure which saves and improves the quality of life. However, it also associated with numerous short- and long-term adverse outcomes. We aimed to determine the prevalence, indications and factors associated with early surgical outcomes of hysterectomy. Methods: This was a multi-centre hospital based cross-sectional study which involved women who underwent hysterectomy from January to June 2022. Data were collected using structured questionnaires. Univariate and multivariate logistic regression analysis were used to find factors associated with early surgical outcomes of hysterectomy. A p value of <0.05 was considered statistically significant. Results: A total of 144 patients were recruited with a mean age of 48.11 ±13.75 (Range=21-90). The prevalence of hysterectomy was 4.9%. The most common indication for hysterectomy was uterine leiomyoma (44.4%). 57 (39.6%) participants had unfavourable surgical outcomes with anaemia leading to blood transfusion being the most common complication. The factors which were associated with unfavourable surgical outcomes were obesity [AOR=9.12, 95%CI (1.42-58.60), p=0.02], preoperative anaemia [AOR=16.79, 95%CI (4.82-58.62), p<0.001] and subtotal hysterectomy [AOR=9.3, 95%CI (1.79-48.25), p=0.008]. Conclusion: Hysterectomy is a common procedure and some women who underwent it are still in their reproductive age. This indicates the need of establishing quality antenatal care as well as standard gynaecological care in order to avoid unnecessary hysterectomies. Postoperative anaemia due to blood loss during hysterectomy was the highest complication. There’s a need to ensure availability of blood in our blood banks so we can prevent postoperative morbidity from hysterectomy and save lives of these women.
Keywords	Hysterectomy, Prevalence, Indications, Early Surgical Outcomes
Field	Medical / Pharmacy
Published In	Volume 8, Issue 3, May-June 2026
Published On	2026-06-08
DOI	https://doi.org/10.36948/ijfmr.2026.v08i03.80546

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Prevalence, Indications and Factors Associated with Early Surgical Outcomes of Hysterectomy at Three Academic Hospitals in Tanzania

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