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Related Experiment Video

Updated: Feb 25, 2026

Detrusor Underactivity Model in Rats by Conus Medullaris Transection
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Changes in incontinence after hysterectomy.

Anne Raabjerg Kruse1, Trine Dalsgaard Jensen1, Finn Friis Lauszus2

  • 1Gynecology Department, Herning Hospital, Gl. Landevej 61, 7400, Herning, Denmark.

Archives of Gynecology and Obstetrics
|July 31, 2017
PubMed
Summary
This summary is machine-generated.

Hysterectomy generally does not increase incontinence risk and may improve symptoms, particularly when no additional vaginal surgery is performed. Postoperative rehabilitation can be further supported by understanding these changes.

Keywords:
HysterectomyPhysical performanceStress incontinenceUrge incontinence

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Area of Science:

  • Gynecology
  • Urology
  • Rehabilitation Medicine

Background:

  • Limited data exists on perioperative incontinence following hysterectomy.
  • Understanding changes in incontinence, fatigue, and physical function is crucial for postoperative rehabilitation.

Purpose of the Study:

  • To evaluate the qualitative changes in incontinence, fatigue, and physical function after hysterectomy.
  • To provide insights for advancing postoperative rehabilitation strategies.

Main Methods:

  • A prospective follow-up study involving 108 patients undergoing planned hysterectomy.
  • Assessment of incontinence (ICIG questionnaire), physical function (strength, balance), work capacity, body composition, and quality of life (SF-36) preoperatively and at 13 and 30 days postoperatively.

Main Results:

  • 41 women improved incontinence; 10 reported deterioration.
  • Preoperative stress incontinence correlated with BMI; urge incontinence with age.
  • Improvement in stress incontinence was linked to younger age; urge incontinence improvement was associated with higher BMI.
  • A slight decrease in lean body mass was observed 13 and 30 days postoperatively.

Conclusions:

  • Hysterectomy is not significantly associated with an increased risk of incontinence, especially without concurrent vaginal surgery.
  • Hysterectomy may have a slightly positive impact on existing incontinence and can lead to de novo cures.