Related Experiment Video
Updated: Dec 15, 2025

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
[Impact of hysterectomy on urinary incontinence: A systematic review]
L Harendarczyk1, C Cardaillac1, E Vaucel1
1Service de gynécologie, CHU de Nantes, 38, boulevard Jean-Monnet, 44000 Nantes, France.
Introduction:
The impact of a hysterectomy on urinary incontinence is a controversial subject in the literature.
Objective:
To evaluate the prevalence and incidence of urinary incontinence after a hysterectomy as well as associated risk factors such as the type of hysterectomy, the surgical approach, urodynamic criteria and uterine disease.
Study Design:
We conducted a systematic review in Pubmed database with the following keywords and MeSH term: hysterectomy, urinary incontinence.
Results:
A total of 1340 articles were retrieved, 42 articles were selected for the final text analysis. The results of the different studies were heterogeneous. Hysterectomy seemed to increase the rate of sphincter deficiency (VLPP<60mmH2O for 20% of cases versus 1,7% without hysterectomy, P=0.003). The vaginal route could increase the incidence of UI with OR of 2.3 (95%CI 1.0-5.2). Subtotal hysterectomy appears to increase UI with a 0,74 RR for total hysterectomy (95%CI 0.58-0.94). A radical hysterectomy with nerve conservation would preserve urinary functions, unlike pelvic radiotherapy, which is responsible for irreversible nerve damage by demyelination and bladder fibrosis.
More Related Videos
03:30Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
05:46Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Related Concept Videos
Urinary Tract Calculi VI: Surgical Management
Nursing Assessment of the Genitourinary System I: Health History
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
Imaging Studies VI: Voiding Cystourethrography and Cystography
Urinary Tract Calculi III: Medical Management
Urodynamic Studies: Uroflowmetry