The impact of hysterectomy on lower urinary tract symptoms
The aim of this study was to evaluate the effect of vaginal and abdominal hysterectomy on lower urinary tract symptoms. 120 patients undergoing hysterectomy for benign conditions were interviewed before their operation.
44 patients underwent vaginal and 76 abdominal hysterectomy. At their 6 months follow-up there was a decrease in symptoms of stress urinary incontinence in the abdominal cohort, but this did not remain at 12 months follow-up. There were no significant changes in symptoms of stress urinary incontinence in the vaginal cohort at either 6 or 12 months follow-up. No significant differences were found regarding symptoms of urge urinary incontinence, urge complaints or voiding difficulties.
(Int Urogynecol J Pelvic Floor Dysfunct. 2003 Dec;14(6):418-23. Epub 2003 Nov 25)