The effects of simple hysterectomy on vesicourethral function.
Many women who present with symptoms of bladder dysfunction relate the onset to the operation of simple hysterectomy. A group of 42 women undergoing simple hysterectomy was studied prospectively. Urinary symptoms, urodynamic findings and sacral reflex latencies (SRLs) were assessed pre- and post-operatively. After hysterectomy the incidence of urinary symptoms increased from 58.3 to 75.0%. Vesicourethral dysfunction was altered in 30.6% of patients, 72.7% of whom had evidence of pelvic neuropathy as detected by SRLs. The results show that simple hysterectomy is associated with a significant incidence of post-operative vesicourethral dysfunction and that there is an identifiable neurological abnormality incurred at operation which is pertinent to the subsequent disordered voiding.
Parys
B T
BT
Clinical Department of Urology, Royal Liverpool Hospital.
Haylen
B T
BT
Hutton
J L
JL
Parsons
K F
KF
D000328:Adult; D000368:Aged; D002987:Clitoris / Q000294:innervation; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008875:Middle Aged; D009431:Neural Conduction; D011446:Prospective Studies; D012018:Reflex / Q000502:physiology; D012684:Sensory Thresholds / Q000502:physiology; D014521:Urethra / Q000294:innervation; D014555:Urination Disorders / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics