Related Experiment Video
Updated: Jun 20, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Voiding dysfunction and hysterectomy
Christopher Jayne1, Bianca A Gago
1Vanguard Urologic Research Foundation, UT ProfessionalBuilding, 6410 Fannin, Suite 1531, Houston, TX 77030, USA. Bianca.Gago@vanguardurology.com
Insights
Hysterectomy may cause lower urinary tract symptoms, but research findings remain inconsistent. Despite advances in surgical knowledge, a definitive cause-and-effect relationship is still debated.
Area of Science:
- Urology
- Gynecology
- Female Pelvic Medicine
Background:
- Early research in 1969 highlighted potential urological issues after hysterectomy.
- Numerous studies have since explored this link, but findings lack consistency.
- Surgical understanding of female pelvic anatomy and innovative techniques have advanced significantly.
Purpose of the Study:
- To review the evolving understanding of hysterectomy's impact on lower urinary tract symptoms.
- To address the persistent inconsistencies in research outcomes over decades.
Main Methods:
- Literature review of publications on hysterectomy and urological sequelae since 1969.
- Analysis of the progression of surgical knowledge and techniques in female pelvic surgery.
Main Results:
- Despite advancements, a consistent relationship between hysterectomy and lower urinary tract symptoms has not been established.
- Inconsistent findings across studies persist, contributing to ongoing speculation.
Conclusions:
- The link between hysterectomy and lower urinary tract symptoms remains speculative.
- Further research is needed to clarify the cause-and-effect relationship, despite improved surgical understanding.
Abstract:
In 1969, Hanley's publication on urological sequelae posthysterectomy was one of the first to address this issue. Since then, many articles have been published on the subject, but results of the various publications have not been consistent. Over time, surgeons have gained substantial knowledge on the anatomy and physiology of the female pelvis and its viscera. Our understanding of surgical techniques and surgical innovations has also improved. Knowledge, understanding, and innovation have led to speculation regarding a cause and effect relationship of hysterectomy to lower urinary tract symptoms. Unfortunately, results of the publications since Hanley's have been inconsistent and despite our advances since 1969, only continue to lead to speculation.
Related Concept Videos
Imaging Studies VI: Voiding Cystourethrography and Cystography
Urodynamic Studies: Uroflowmetry
Urinary Tract Calculi VI: Surgical Management
Urologic Endoscopic Procedure: Cystoscopic Examination
Anatomy of the Genitourinary System II: Bladder and Urethra
Disorders of the Urinary System
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...