Changes in symptoms and colpo-cystourethrography in 35 patients before and after total abdominal hysterectomy: a prospective study.
35 women, referred for simple total hysterectomy, were evaluated pre- and postoperatively for bladder suspension and urodynamic changes. Although all patients denied urological problems, more than half of the patients had some degree of stress and/or urge incontinence. 40% had radiological signs of bladder suspension defects. At postoperative examination the symptomatology of incontinence had declined but the radiological pathologic findings had increased. On this basis it may be concluded that it is unpredictable what happens to the bladder and its suspension following simple hysterectomy.
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography; D014521:Urethra / Q000000981:diagnostic imaging*; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology*; D014621:Vagina / Q000000981:diagnostic imaging