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A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
Published on: December 20, 2014
Hysterectomy and urinary incontinence: a systematic review
J S Brown1, G Sawaya, D H Thom
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA. brownj@obgyn.ucsf.edu
Lancet (London, England)
|August 19, 2000
Summary
Hysterectomy may increase the risk of urinary incontinence, particularly in women aged 60 and older. Discussing this potential long-term complication during counseling is crucial for informed patient decisions.
Area of Science:
- Gynecology
- Urology
- Evidence-based medicine
Background:
- Hysterectomy is a common gynecological procedure.
- Serious complications occur in approximately 6 per 10,000 hysterectomies.
- A potential association with urinary incontinence warrants investigation.
Purpose of the Study:
- To systematically review the evidence linking hysterectomy to urinary incontinence.
- To quantify the risk of developing incontinence after hysterectomy.
Main Methods:
- Systematic review of English and non-English articles from MEDLINE (1966-1997) and reference lists.
- Inclusion of studies reporting original data on incontinence development post-hysterectomy.
- Data abstraction by two independent reviewers and meta-analysis using a random-effects model.
Main Results:
- 12 studies (8 cross-sectional, 2 cohort, 1 case-control, 1 RCT) met inclusion criteria.
- Overall, hysterectomy was associated with increased odds of urinary incontinence.
- Women aged 60+ showed a 60% increased odds (OR 1.6) of incontinence, while younger women did not show increased odds.
Conclusions:
- Hysterectomy is associated with an increased likelihood of urinary incontinence, especially in older women.
- This potential sequela should be discussed during patient counseling regarding hysterectomy.
- Incontinence risk may manifest years after the procedure, highlighting the importance of long-term follow-up discussions.
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