Objective: To analyze patients who underwent hysterectomy for benign lesions. Methods:We retrospectively analyzed 711 patients who underwent hysterectomy for benign lesions.Results: Hysterectomy was performed abdominally in 87.2% (n=620) of the patients, vaginally in 12.8% (n=91) of the patients. The mean age of the patients who underwent abdominal hysterectomy was 50 (±9) years, whereas that of the other group was 63 (±11) years. The most common indication of abdominal hysterectomy was leiomyoma and the only indication of vaginal hysterectomy was uterine prolapse. The complication rate of abdominal hysterectomy was 29.5%, whereas that of vaginal hysterectomy was 12.2%. It was determined that the rate of hospitalization and of postoperative fever was higher and the decrease in the hematocrit level was smaller in the patients who underwent abdominal hysterectomy compared with those who underwent vaginal hysterectomy. Conclusion:We determined that abdominal hysterectomy was preferred, abdominal hysterectomy was most frequently performed in cases of leiomyomas, and vaginal hysterectomy was only performed in patients with genital prolapse. The overall complication rate of vaginal hysterectomy was less than that of abdominal hysterectomy.

To evaluate whether body mass index (BMI) is an important parameter that affects the thickness of the endometrium in asymptomatic postmenopausal women. Methods: Our study was performed retrospectively using computer and file records of 434 postmenopausal women who were admitted to the Istanbul Research and Training Hospital Menopause clinic between June 2008 and April 2010. Endometrial thickness and biopsy results were compared among patients with endometrial thickness of >5 mm. The correlation between endometrial thickness and menopause age, BMI, diabetes mellitus (DM), hypertension (HT), and smoking were evaluated statistically. Results: Statistically significant p-values were obtained between endometrial thickness and high BMI, DM, HT, and menopause age. Evaluation of the pathology results revealed atypical complex hyperplasia in one case (0.2%), endometrial polyp in 22 cases (5.1%), endometrial proliferation in 17 cases (3.9%), simple endometrial hyperplasia in four cases (0.9%), atrophic endometrium in 22 cases (5.1%), and endometrial secretion in 12 cases (2.8%). Conclusion: We were determined that BMI is an important parameter that affects endometrial thickness and should be considered in follow-ups of endometrial pathologies of asymptomatic postmenopausal women.