Elective cesarean hysterectomy versus vaginal hysterectomy for the treatment of cervical intraepithelial neoplasia.

We retrospectively compared elective cesarean hysterectomy and vaginal hysterectomy for cervical intraepithelial neoplasia. Sixteen patients had cesarean hysterectomy and 53 had vaginal hysterectomy. There were no deaths in either group and no neonatal complications in the cesarean hysterectomy group. Major and minor complications were comparable in the two groups except that urinary tract infection was statistically more common in the cesarean hysterectomy group. The mean hospital stay for the two groups was comparable. The estimated blood loss and transfusion rate were higher in the cesarean hysterectomy group. The transfusion rate was probably artificially increased because of overzealous intraoperative transfusion. Elective cesarean hysterectomy does not cause unacceptably high morbidity, and it is an acceptable alternative to interval vaginal hysterectomy for cervical intraepithelial neoplasia in poorly compliant patients.