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Is vaginal hysterectomy a risk factor for urinary incontinence at long-term follow-up?
Renaud de Tayrac1, Nicolas Chevalier, Aurélia Chauveaud-Lambling
1Department of Obstetrics and Gynecology, Antoine Beclere Hospital, Clamart, France. renaud.detayrac@chu-nimes.fr
Objective:
The purpose of this study was to evaluate the prevalence of urinary symptoms at long-term follow-up after vaginal hysterectomy.
Study Design:
One hundred and seventeen patients, who had a vaginal hysterectomy for menorrhagia, from January 1991 to December 2001, answered to a self-report questionnaire about de novo urinary symptoms. The control group was a population of 116 patients who had a conservative treatment for dysfunctional uterine bleeding by endometrial thermocoagulation from January 1994 to December 2001.
Results:
Patient characteristics (mean age, mean parity, menopausal status, smoking status, drink habits) were similar in the two groups. Mean follow-up was 4.6+/-2.2 years (range 1.5-11) after vaginal hysterectomy and 4+/-1.8 years (range 1.5-7) after conservative treatment. The prevalence of urinary symptoms, included urge and stress incontinence, were statistically similar in the two groups.
Conclusion:
This study reveals no risk of urge or stress urinary incontinence at long-term follow-up after vaginal hysterectomy, compared with conservative treatment.
