Hysterectomy for benign gynecologic disorders - When and why?

Critical examination is needed whenever indications for hysterectomy are difficult to justify. Contrary to what much of current literature seems to suggest, the real problem may not lie in the choice of treatment, but rather in identifying patients for whom conservative treatment is not suitable and who may benefit from surgical intervention. The application of rational diagnostic protocols, use of appropriate medical therapies, and observation of internationally accepted surgical indications could lead to an appreciable reduction in the number of hysterectomies performed worldwide. Nonetheless, this procedure undoubtedly will continue to be a simple and important tool for improving quality of life.