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Effect of total abdominal hysterectomy on pelvic floor function
M Abdel-Fattah1, J Barrington, M Yousef
1Obstetrics & Gynaecology Department, Torbay Hospital, Torquay, UK. msakr99@aol.com
Obstetrical & Gynecological Survey
|March 17, 2004
Summary
Abdominal hysterectomy, a common gynecologic surgery, does not negatively impact pelvic floor function. A recent study found both total and subtotal abdominal hysterectomies safe for pelvic floor integrity up to one year post-surgery.
Area of Science:
- Gynecologic Surgery
- Pelvic Floor Function
Background:
- Hysterectomy is a prevalent and historically significant gynecologic operation.
- It is generally considered safe, with a low mortality rate, improving patient quality of life.
- The impact of hysterectomy on pelvic floor function remains debated due to inconsistent study findings and methodological limitations.
Purpose of the Study:
- To evaluate the effect of abdominal hysterectomy on pelvic floor function.
- To address the contradictory results from previous studies on hysterectomy and pelvic floor outcomes.
Main Methods:
- Assessment of pelvic floor function as a single functional unit.
- Focus on abdominal hysterectomy, including both total and subtotal procedures.
- Evaluation of outcomes up to 1 year postoperatively.
Main Results:
- Abdominal hysterectomy, encompassing both total and subtotal types, demonstrated no detrimental effect on pelvic floor function.
- Findings were consistent up to the 1-year postoperative mark.
Conclusions:
- Abdominal hysterectomy does not adversely affect pelvic floor function.
- The procedure is associated with maintained pelvic floor integrity in the short term.