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

Abstract

The objective of this retrospective longitudinal study was to investigate the incidence and severity of urinary and faecal incontinence in women after either total abdominal hysterectomy or comparable abdominal surgery. Age-matched and postoperative time-matched control groups were drawn from women attending for operation at a Scottish District General Hospital, during the early 1990s (59 women in the hysterectomy group and 33 women in the control group, with a mean preoperative age 40.4 years and 38.1 years, respectively). Within-group and between-group analyses were conducted using t and Fisher's exact tests. Within each group, changes in all urinary and faecal variables during the 10-year period were extremely significant (p < 0003). With the exception of urinary urgency (p = 0.028), there was no statistical difference between the groups.

Incidence and risk factors of stress urinary incontinence after laparoscopic hysterectomy

“…A prospective study on the incidence of urinary incontinence after a total hysterectomy to analyze the risk factors of urinary incontinence after a total hysterectomy found that the risk of urinary incontinence was the highest within three years after a total hysterectomy, and the risk factors were high BMI, old age, vaginal hysterectomy [ 15 ]. However, Al-Mehaisen et al Conducted a 10-year follow-up of patients after a total hysterectomy and found that the occurrence of urinary incontinence after a hysterectomy was significantly related to age [ 16 ]. The above studies mainly focused on the general data of patients and ignored the effect of surgical trauma on the urinary system.…”