Abdominal hysterectomy for surgical sterilization in the mentally retarded: a review of parental opinion
Wheeless, C.R.
American Journal of Obstetrics and Gynecology 122(7): 872-875
1975
ISSN/ISBN: 0002-9378 PMID: 1146938 DOI: 10.1016/0002-9378(75)90730-9Document Number: 504612
This study reviews the experience of the author with abdominal hysterectomy for surgical sterilization of the mentally retarded between the years 1950 and 1973. During this period 152 patients were so sterilized. Age ranged from 10 to 48 years and parity ranged from 1 to 4 with 82.6% nulliparous. Of these only 92 were available for the follow-up study. Sterilization was done after recommendation by a psychiatrist or psychologist. Many were referred from institutions. In most cases there was little doubt as to the incompentency of these patients. None were mildly retarded. All had the parents' or guardians' consent. Total hysterectomies were done and in 2 cases ovaries were also removed because of ovarian pathology. The vast majority of parents or guardians were satisfied with the results of the procedure and felt the operation had produced no abnormal physical or behavioral patterns. Over 90% of those charged with the care of these patients were enthusiastic for the benefit achieved. Abdominal hysterectomy is considered the procedure of choice for surgical sterilization of the female retardate.