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The effects of simple hysterectomy on vesicourethral function
B T Parys1, B T Haylen, J L Hutton
1Clinical Department of Urology, Royal Liverpool Hospital.
British Journal of Urology
|December 1, 1989
Summary
Simple hysterectomy can lead to urinary symptoms and bladder dysfunction in women. This study found a significant link between the surgery and post-operative pelvic neuropathy, affecting bladder control.
Area of Science:
- Urogynecology
- Surgical complications
- Pelvic nerve function
Background:
- Urinary dysfunction is frequently reported by women post-hysterectomy.
- The precise cause of post-hysterectomy urinary symptoms remains unclear.
- Simple hysterectomy is a common gynecological procedure.
Purpose of the Study:
- To prospectively investigate the incidence of urinary symptoms and vesicourethral dysfunction after simple hysterectomy.
- To assess the role of pelvic neuropathy in post-operative bladder dysfunction.
- To correlate surgical outcomes with urodynamic findings and sacral reflex latencies.
Main Methods:
- Prospective study of 42 women undergoing simple hysterectomy.
- Pre- and post-operative assessment of urinary symptoms.
- Urodynamic testing and sacral reflex latency (SRL) measurements.
Main Results:
- Post-hysterectomy urinary symptoms increased from 58.3% to 75.0%.
- Vesicourethral dysfunction altered in 30.6% of patients.
- Pelvic neuropathy, detected by SRLs, was evident in 72.7% of those with dysfunction.
Conclusions:
- Simple hysterectomy is associated with a significant incidence of post-operative vesicourethral dysfunction.
- An identifiable neurological abnormality, likely pelvic neuropathy, occurs during surgery.
- This neurological impact is pertinent to subsequent disordered voiding and bladder control issues.