Lower urinary tract symptoms after total and subtotal hysterectomy: results of a randomized controlled trial.
The aim of this Danish multicenter trial was to compare the proportion of women with lower urinary tract symptoms after total abdominal hysterectomy (TAH) and subtotal abdominal hysterectomy (SAH) for benign uterine disorders. A total of 319 women were randomized to TAH (n = 158) or SAH (n = 161). Women were followed up for 1 year by strict data collection procedures, including postal questionnaires. Results were analyzed by intention-to-treat analyses. Urinary incontinence was found less often among TAH women than among SAH women. This was due to a larger reduction of the number of women with stress and urinary incontinence in the TAH group. No other differences were found between the two operation methods. The number of women with urinary incontinence and frequency was reduced from study entry for follow-up, while double/triple voiding was increased. Incontinent women had significantly lower quality of life scores than continent women
Gimbel
Helga
H
Department of Gynecology and Obstetrics, Roskilde County Hospital, Denmark. helga@dadlnet.dk
Zobbe
Vibeke
V
Andersen
Birthe Jakobsen
BJ
Sørensen
Helle Christina
HC
Toftager-Larsen
Kim
K
Sidenius
Katrine
K
Møller
Nini
N
Madsen
Ellen Merete
EM
Vejtorp
Mogens
M
Clausen
Helle
H
Rosgaard
Annie
A
Villumsen
John
J
Gluud
Christian
C
Ottesen
Bent S
BS
Tabor
Ann
A
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D011788:Quality of Life; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology; D014550:Urinary Incontinence, Stress / Q000209:etiology; D016055:Urinary Retention / Q000209:etiology; D014552:Urinary Tract Infections / Q000209:etiology; D014555:Urination Disorders / Q000209:etiology; D014570:Urologic Diseases / Q000209:etiology*; D014591:Uterine Diseases / Q000601:surgery