Non-radical hysterectomy and the function of the lower urinary tract. II: Urodynamic quantification of changes in evacuation function.
The intermediate sequelae of non-radical abdominal and vaginal hysterectomies on the evacuation function of the lower urinary tract were studied by comparison of pre- and postoperative urodynamic parameters. No significant changes were observed in detrusor contractility or the contribution of abdominal straining after hysterectomy. Pressure-flow studies revealed no development towards obstructive patterns. Uroflowmetry did not demonstrate any changes in flow rates or in flow patterns. Except in one woman, no major variations were seen in residual urine volumes. There were no differences between abdominal and vaginal hysterectomies. It is concluded that lower urinary tract evacuation function remains unaltered by total hysterectomy.
Vervest
H A
HA
Department of Obstetrics & Gynecology, State University Hospital AZU, Utrecht, The Netherlands.
van Venrooij
G E
GE
Barents
J W
JW
Haspels
A A
AA
Debruyne
F M
FM
D000005:Abdomen / Q000503:physiopathology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007045:Hysterectomy, Vaginal / Q000009:adverse effects; D009119:Muscle Contraction; D011312:Pressure; D001743:Urinary Bladder / Q000503:physiopathology*; D014554:Urination / Q000502:physiology*; D014563:Urodynamics / Q000502:physiology*