A prospective study of outcomes after hysterectomy in mid-aged Australian-born women

Abstract

In a community-based sample of Australian-born women, the experience of a hysterectomy after the age of 45 years was associated with bladder, weight and sleeping problems 5-6 years after the surgery.

Effect of abdominal hysterectomy on developing urinary and faecal incontinence later in life

“…Two studies have since been published, but show different kinds of data that only partially overlap with our own findings (MacArthur et al 2006, Guthrie et al 2007.…”

“…Examination of surgical histories during the 10-year period showed that less than 10% of women had surgeries that might have impacted urinary and/or FI. The study of Guthrie et al (2007) which involved 439 women but had a longer time period of 11 years, similar to ours, showed that compared with women who did not undergo hysterectomy, women who had a hysterectomy ran a much higher risk of having problems with urine control (OR: 3.97), which is lower than the OR we report here for urinary urge incontinence (7.98), but still elevated (Sampselle et al 2002). Our cohort ages (48-51 years at 10 years postoperative) were, however, younger than those reported in the study of Guthrie et al (2007) (59-60 years).…”

“…There is a paucity in the literature regarding urinary and faecal incontinence post-abdominal hysterectomy, with only two studies addressing this subject (MacArthur et al 2006;Guthrie et al 2007). The aim of this retrospective study was to investigate the urinary and faecal function of women approximately 10 years after total abdominal hysterectomy, and to compare such a sample group against a control group that had received other abdominal operations.…”

Association between use of self-prescribed complementary and alternative medicine and menopause-related symptoms: A cross-sectional study

“…7 Previous studies on menopausal women's use of self-prescribed CAM have focused only on: prevalence rates of self-prescribed CAMs amongst menopausal women 9,10 ; women at the duration of highest rates of menopause-related symptoms 13,15 ; treatment of only one specific symptom at different menopausal status 4 ; menopausal status excluding hysterectomy 13 ; and data analysis ignoring the confounder 'HRT'. 5 No study to date has provided detailed information on the choice of frequently-used selfprescribed CAM for each symptom among menopausal women, nor focused upon self-prescribed CAM use by women with different types of menopause, including natural menopause, hysterectomy and oophorectomy. In response to these significant research gaps, we examined the associations between frequently reported symptoms across different menopause status and a range of selfprescribed CAMs amongst a nationally-representative sample of menopausal Australian women.…”

“…2 Women with natural menopause, hysterectomy, or oophorectomy appear to be associated with increased prevalence of different menopauserelated symptoms. [3][4][5] Hormone replacement therapy (HRT), the mainstream treatment for menopause-related symptoms, is not suitable for women after the age of 60 years and is not recommended for long-term use. 6 Consequently, complementary and alternative medicine (CAM) has become a frequent treatment amongst menopausal women for the relief of menopause-related symptoms.…”