Effect of Total Abdominal Hysterectomy on Pelvic Floor Function

Abdel‐Fattah, Mohamed; Barrington, J. W.; Yousef, Mohamed I.; Mostafa, Alyaa

doi:10.1097/01.ogx.0000120166.84206.dd

Cited by 18 publications

(12 citation statements)

References 47 publications

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“…TAH disrupts the pelvic anatomy and has the potential to affect the nerve supply within the pelvis; therefore, it is conceivable that it could affect the physiological function of other pelvic organs, such as the bladder, with a potential to increase the incidence of symptoms of urinary incontinence (UI) after TAH 4 …”

Section: Introductionmentioning

confidence: 99%

Comparison of the long‐term effects of simple total abdominal hysterectomy with transcervical endometrial resection on urinary incontinence

Allahdin

Harrild

Warraich

et al. 2007

BJOG

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Objective To test the hypothesis that the hospital referral rate for urinary incontinence (UI) symptoms, within 10 years of a simple total abdominal hysterectomy (TAH) for dysfunctional uterine bleeding (DUB), would differ to that after a transcervical resection of the endometrium (TCRE).Design Retrospective case note review.Setting Teaching hospital in north east Scotland.Population All women who had a TAH (316) or a TCRE (229) for DUB, during the period from 1 January 1990 to 31 December 1994, who had never been referred for symptoms of UI prior to their operation.Methods Independent t tests, Mann-Whitney U tests and Chisquared tests were used to compare the two study groups in terms of demographic details and outcome measures. Newcombe's method for the comparison of two unpaired proportions was used to calculate 95% CIs for the differences in outcome measures between the two operations. Logistic regression was conducted to investigate associations with hospital referral for UI. proportions -1 to 8%). There were a greater number of hospital referrals for treatment of UI in the TAH group (36, 11%) than in the TCRE group (12, 5%), 95% CI for the difference in proportions (1-11%). After adjusting for age, weight, smoking status and mode of delivery, the increased rate of hospital referral for UI after TAH remained, with an odds ratio of 2.31, 95% CI 1.24-4.30.Conclusions TAH is associated with a significantly increased incidence of hospital referral for UI, urological investigations and treatment for UI at 10 years of follow up compared with TCRE.Keywords Hysterectomy, TCRE, urinary incontinence.Please cite this paper as: Allahdin S, Harrild K, Warraich Q, Bain C. Comparison of the long-term effects of simple total abdominal hysterectomy with transcervical endometrial resection on urinary incontinence.

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Section: Introductionmentioning

confidence: 99%

Comparison of the long‐term effects of simple total abdominal hysterectomy with transcervical endometrial resection on urinary incontinence

Allahdin

Harrild

Warraich

et al. 2007

BJOG

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“…20 This study was designed to prospectively evaluate long-term effects of abdominal and vaginal hysterectomy on bowel function by using self-reported outcome measures on symptoms of constipation, rectal emptying difficulties, and anal incontinence.…”

mentioning

confidence: 99%

Effects of Hysterectomy on Bowel Function: A Three-Year, Prospective Cohort Study

Forsgren¹,

Zetterström²,

López³

et al. 2007

Diseases of the Colon &Amp; Rectum

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Neither abdominal nor vaginal hysterectomy was associated with constipation, aggravation of constipation, or rectal emptying difficulties three years after surgery. Abdominal and vaginal hysterectomy was, however, associated with an increased risk of mild anal incontinence symptoms, and patients with a reported history of obstetric sphincter injury were at particular risk for posthysterectomy fecal incontinence.

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“…Because radical hysterectomy involves dividing and disrupting the cardinal and uterosacral ligaments, which contain the autonomic nerves from the pelvic plexus, bladder dysfunction may sometimes ensue. However, there is uncertainty about the role of radical hysterectomy on the onset of bowel dysfunctions [3,4,5,6,7,8,9,10,11,12]. …”

Section: Introductionmentioning

confidence: 99%

Bowel Dysfunction following Nerve-Sparing Radical Hysterectomy for Cervical Cancer: A Prospective Study

et al. 2014

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Objective: To objectively assess anorectal dysfunction following nerve-sparing radical hysterectomy in stage I-II cervical carcinoma patients. Material and Methods: Between 2008 and 2012, 21 patients with primary cervical cancer stage FIGO I-II were enrolled in this prospective study. All women underwent nerve-sparing radical hysterectomy. Anorectal manometry was performed preoperatively and 6 months after surgery. A paired Student t test was used to assess the statistical difference between the manometric evaluations. A p value <0.05 was considered statistically significant. Results: Twenty-one patients were available for follow-up. Maximal and mean anal resting and squeezing pressures were unaffected by the surgical procedure, rectoanal inhibitory reflex and length of the high anal pressure zone did not change after the operation. The minimal volume to elicit rectal sensation, urge to defecate and maximal tolerable volume did not change significantly in the postoperative period, although they decreased in 2 and increased in 3 patients. In addition, rectal compliance did not change after surgery. Furthermore, no significant differences were found between patients who were or were not treated with adjuvant radiotherapy. Conclusions: Our findings suggest that nerve-sparing radical hysterectomy for cervical cancer does not seem to be associated with long-term anorectal dysfunction.

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Effect of Total Abdominal Hysterectomy on Pelvic Floor Function

Cited by 18 publications

References 47 publications

Comparison of the long‐term effects of simple total abdominal hysterectomy with transcervical endometrial resection on urinary incontinence

Comparison of the long‐term effects of simple total abdominal hysterectomy with transcervical endometrial resection on urinary incontinence

Effects of Hysterectomy on Bowel Function: A Three-Year, Prospective Cohort Study

Bowel Dysfunction following Nerve-Sparing Radical Hysterectomy for Cervical Cancer: A Prospective Study

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