Table 2.
Surgical Characteristics by Indication for Hysterectomy and Age Group (Weighted) Using the National Inpatient Sample, 2016–2017
| Characteristic | Gender-affirming care | Fibroids | “Other benign” | AUB | Endometriosis | Cancer | Pelvic pain | Total |
|---|---|---|---|---|---|---|---|---|
| All ages (N = 263,190) | ||||||||
| N (weighted) | 110 | 124,915 | 68,490 | 27,445 | 18,330 | 16,735 | 7165 | 263,190 |
| Surgical approach, n (%) | ||||||||
| Abdominal | 40 (36.4) | 105,330 (84.3) | 45,605 (66.6) | 17,995 (65.6) | 12,530 (68.4) | 12,175 (72.8) | 4440 (62.0) | 198,115 (75.3) |
| Robotic/laparoscopic | 70 (63.6) | 16,850 (13.5) | 16,145 (23.6) | 7270 (26.5) | 5115 (27.9) | 4450 (26.6) | 2340 (32.7) | 52,240 (19.8) |
| Vaginal | 0 (0.0) | 2735 (2.2) | 6740 (9.8) | 2180 (7.9) | 685 (3.7) | 110 (0.7) | 385 (5.4) | 12,835 (4.9) |
| Bilateral salpingo-oophorectomy, n (%) | 95 (86.4) | 31,290 (25.0) | 24,850 (36.3) | 6225 (22.7) | 8080 (44.1) | 12,945 (77.4) | 1985 (27.7) | 85,470 (32.5) |
| 18–24 years old (N = 1575) | ||||||||
| N | 10 | 30 | 1040 | 175 | 180 | 50 | 90 | 1575 |
| Surgical approach, n (%) | ||||||||
| Abdominal | 5 (50.0) | 30 (100.0) | 980 (94.2) | 135 (77.1) | 120 (66.7) | 25 (50.0) | 65 (72.2) | 1360 (86.3) |
| Robotic/laparoscopic | 5 (50.0) | 0 (0.0) | 50 (4.8) | 25 (14.3) | 55 (30.6) | 20 (40.0) | 25 (27.8) | 180 (11.4) |
| Vaginal | 0 (0.0) | 0 (0.0) | 10 (1.0) | 15 (8.6) | 5 (2.8) | 5 (10.0) | 0 (0.0) | 35 (2.2) |
| Bilateral salpingo-oophorectomy, n (%) | 10 (100.0) | 5 (16.7) | 60 (5.8) | 5 (2.9) | 55 (30.6) | 20 (40.0) | 35 (38.9) | 190 (12.1) |
| 25–34 years old (N = 26,920) | ||||||||
| N | 60 | 4165 | 11,800 | 3950 | 3630 | 1450 | 1865 | 26,920 |
| Surgical approach, n (%) | ||||||||
| Abdominal | 20 (33.3) | 3435 (82.5) | 9010 (76.4) | 2595 (65.7) | 2485 (68.5) | 795 (54.8) | 1145 (61.4) | 19,485 (72.4) |
| Robotic/laparoscopic | 40 (66.7) | 620 (14.9) | 1940 (16.4) | 1010 (25.6) | 1025 (28.2) | 640 (44.1) | 595 (31.9) | 5870 (21.8) |
| Vaginal | 0 (0.0) | 110 (2.6) | 850 (7.2) | 345 (8.7) | 120 (3.3) | 15 (1.0) | 125 (6.7) | 1565 (5.8) |
| Bilateral salpingo-oophorectomy, n (%) | 50 (83.3) | 350 (8.4) | 1525 (12.9) | 485 (12.3) | 1365 (37.6) | 610 (42.1) | 370 (19.8) | 4755 (17.7) |
| 35–44 years old (N = 106,960) | ||||||||
| N | 15 | 50,055 | 25,925 | 13,550 | 9040 | 4725 | 3650 | 106,960 |
| Surgical approach, n (%) | ||||||||
| Abdominal | 0 (0.0) | 42,000 (83.9) | 17,180 (66.3) | 8490 (62.7) | 6190 (68.5) | 3225 (68.3) | 2230 (61.1) | 79,315 (74.2) |
| Robotic/laparoscopic | 15 (100.0) | 6825 (13.6) | 6335 (24.4) | 3870 (28.6) | 2515 (27.8) | 1450 (30.7) | 1240 (34.0) | 22,250 (20.8) |
| Vaginal | 0 (0.0) | 1230 (2.5) | 2410 (9.3) | 1190 (8.8) | 335 (3.7) | 50 (1.1) | 180 (4.9) | 5395 (5.0) |
| Bilateral salpingo-oophorectomy, n (%) | 10 (66.7) | 6090 (12.2) | 6845 (26.4) | 2120 (15.6) | 3650 (40.4) | 3070 (65.0) | 850 (23.3) | 22,635 (21.2) |
| 45–54 years old (N = 127,735) | ||||||||
| N | 25 | 70,665 | 29,725 | 9770 | 5480 | 10,510 | 1560 | 127,735 |
| Surgical approach, n (%) | ||||||||
| Abdominal | 15 (60.0) | 59,865 (84.7) | 18,435 (62.0) | 6775 (69.3) | 3735 (68.2) | 8130 (77.4) | 1000 (64.1) | 97,955 (76.7) |
| Robotic/laparoscopic | 10 (40.0) | 9405 (13.3) | 7820 (26.3) | 2365 (24.2) | 1520 (27.7) | 2340 (22.3) | 480 (30.8) | 23,940 (18.7) |
| Vaginal | 0 (0.0) | 1395 (2.0) | 3470 (11.7) | 630 (6.4) | 225 (4.1) | 40 (0.4) | 80 (5.1) | 5840 (4.6) |
| Bilateral salpingo-oophorectomy, n (%) | 25 (100.0) | 24,845 (35.2) | 16,420 (55.2) | 3615 (37.0) | 3010 (54.9) | 9245 (88.0) | 730 (46.8) | 57,890 (45.3) |