Supplementary Information

Original article: Clinical outcome after laparoscopic and open abdominal myomectomy

Strictly confidencial.ID______

Experiences following myomectomy.

This study is being carried out in order to evaluate the longterm outcome of myomectomy performed by keyhole surgery (laparoscopy) or conventional surgery (laparotomy). For further information, please see the provided “Information and request regarding participation in a survey at The Department of Gynaecology, Ullevaal University Hospital”.

All information that you are able to provide is extremely valuable. Please try to answer all of the sections and feel free to add any further information that you think may be helpful in explaining your experiences.

If you have any queries about the questionnaire, please contact me on phone 22119800,

e mail: , or write to me at the address below.

When you have finished filling in the questionnaire, please return it to me in the pre-paid envelope provided.

Thank you very much for your time and help

Consultant Guri B Majak

Department of Gynaecology

OsloUniversity Hospital, Ullevaal

Kirkeveien 166, 0196 Oslo.

Some of the questions refer to your experiences before surgery and others refer to your experiences the first 2 years after surgery. Please try to answer all questions in the questionnaire.

For the following questions, please think back to the time BEFORE you underwent your myomectomy.

1. What were the main reasons for your myomectomy?(Tick all that apply.)

Infertility 

Heavy bleeding

Recommended by physician 

Pain 

Uncertain 

Other reason (Please state): ______

2. Before the myomectomy, did you suffer from menstrual pain?

Yes

No

Do not recall

2b. Please mark the intensity of your menstrual pain before the myomectomy on the scale below.

0 indicates no pain, 5 indicate moderate pain and 10 indicates the worst imaginable pain.

Worst

No pain imaginable

pain

______

0 1 2 3 4 5 6 7 8 9 10

2c. How often did you experience menstrual pain? (Please select one option only).

Never

During some periods

During most periods

During every period

2d. How many days per month did you have to stay home from work or were unable to

perform your usual role because of the menstrual pain?

Days per month

3. How would you describe your usual periods prior to the myomectomy? (Please select one only).

Minimal bleeding

Normal amount of bleeding

Heavy bleeding

Very heavy bleeding

Did not have bleeding 

4. Did you use hormone replacement therapybefore you underwent the myomectomy?

Yes

No

Do not recall

5. To what extent did your periodic bleeding give you discomfort before the surgery?

0 indicates no discomfort, 5 indicate moderate discomfort and 10 indicates that the bleeding gave very much discomfort

No discomfort Very much discomfort

______

0 1 2 3 4 5 6 7 8 9 10

6. Had you given birth or been pregnant prior to the myomectomy?

Yes

No

Please state number of births/pregnancies:

The following questions are about the first 1-2 years AFTER THE MYOMECTOMY

7a. After the myomectomy, have you suffered from menstrual/periodic pain?

Yes

No

7b. Please mark the intensity of your menstrual/periodic pain after the myomectomy on the scale below.

0 indicates no pain, 5 indicate moderate pain and 10 indicates the worst imaginable pain.

Worst

No pain imaginable

pain

______

0 1 2 3 4 5 6 7 8 9 10

7c. After myomectomy, how often did you experience menstrual/periodic pain?

Never

During some periods

During most periods

During every period

7d. How many days per month did you have to stay home from work or were unable to

perform your usual role because of the menstrual pain?

Days per month

8. How many days per month did you experience vaginal/menstrual bleeding?

Days per month

8b.How much bleeding did you experience? (Please select one only).

Minimal bleeding/spotting

Less than my normal menstrual bleeding before the myomectomy

About the same as my menstrual bleeding before the myomectomy 

Heavier than my menstrual bleeding before the myomectomy

8c.To what extent did these bleedings give you discomfort?

Please mark the extent of discomfort on the scale below. 0 indicates no discomfort at all, 5 indicate moderate discomfort and 10 indicates very much discomfort.

Very much discomfort

No discomfort

______

0 1 2 3 4 5 6 7 8 9 10

8d. Did your periodic bleeding affect your every-day life?

Yes

No

If yes, - which aspects of your life does your bleeding affect? (Tick all that apply).

Aspects of work

Recreation/sport

Sexual relationships

Any other aspects, please state:

______

______

______

9. Was the surgery related to infertility?

Yes

No

10. Have you been pregnant after the surgery?

Yes

No

Number of pregnancies:

11. Have you given birth after the surgery?

Yes 

No

Number of births:

12. Did you give birth vaginally or by caesarean section?

Vaginally 

Cesarean section 

13. Were there complications during your pregnancy or birth?

Yes 

No

Please state what kind of complications you had:

14.Have you received any treatment due to bleeding or menstrual pain after the myomectomy? (Tick all that apply).

No Yes, medication 

Yes, surgery

15. Have you experienced any new problems or symptoms after the myomectomy?

No

Yes

If yes, please describe:

16. In total, to what extent are you satisfied with the myomectomy you underwent?

(Please select one only).

Very satisfied

Satisfied 

Neutral

Dissatisfied

Very dissatisfied

17. To what extent are you satisfied with the information you received prior to your myomectomy?

Very satisfied

Satisfied 

Neutral

Dissatisfied

Very dissatisfied

18. Were there anything you would like to have been informed about prior to the myomectomy?

Please describe:

Please return the completed questionnaire in the pre-paid envelope enclosed.

Thank you very much for your great help!

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