“…Another factor to consider is the psychological impact of hysterectomy and surgical procedures to the patient. Whereas menopausal women accuse alterations of both mucosal trophism and pelvic static, being predisposed to urinary incontinence; the women of childbearing age have a severe psychological disorder linked to infertility and sexual problems (23,24). The Hartmann's procedure with colostomy, hysterectomy and salpingo-oophorectomy were performed followed by lymphadenectomy (25).…”