Benign Gynecology

Benign Gynecology

Unless otherwise specified, outcomes reported here reflect care by gynecology staff practicing in Cleveland Clinic facilities in northeast Ohio.

Surgical Site Infection Rate for Abdominal Hysterectomy (Benign and Malignant)

2014 – 2017

In 2011, an interdisciplinary project team was formed to identify risk points for infection during the perioperative period. Action steps were implemented to reduce these risks, resulting in lower surgical site infection rates in hysterectomy cases.

ᵃData is for the first 3 quarters of 2017. Data for the 4th quarter of 2017 was not available at the time of publishing.

Cleveland Clinic provides several treatment options for uterine fibroids, including uterine fibroid embolization, myomectomy, and hysterectomy.

Procedures to Treat Uterine Fibroids

2014 – 2017

Surgical Approach for Myomectomy

2015 – 2017

Hysterectomy Following Myomectomy or Uterine Fibroid Embolization

2011 − 2017

Between 2011 and 2017, 206 patients underwent uterine fibroid embolization (UFE) and had at least 1 year of follow-up. The figure illustrates the percentage of these patients who subsequently underwent hysterectomy relative to the time of their initial procedure. The number of patients at risk represents those patients with the indicated length of follow-up who did not have a hysterectomy. The 3-year hysterectomy rate following UFE for Cleveland Clinic gynecologic surgeons is approximately 4.0%.

Between 2011 and 2017, 1679 patients underwent myomectomy and had at least 1 year of follow-up. The figure illustrates the percentage of these patients who subsequently underwent hysterectomy relative to the time of their initial procedure. The number of patients at risk represents those patients with the indicated length of follow-up who did not have a hysterectomy. The 3-year hysterectomy rate following myomectomy for Cleveland Clinic gynecologic surgeons is approximately 5.8%.

UFE = uterine fibroid embolization

Endometriosis Treatment

2014 − 2017

Medical treatment is the primary method used for treating endometriosis. When surgical methods are used, hysterectomy is seldom the course of action taken.