title: Lower urinary tract symptoms after total and subtotal hysterectomy: results of a randomized controlled trial.
abstract: 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
authors.affiliation: Department of Gynecology and Obstetrics, Roskilde County Hospital, Denmark. helga@dadlnet.dk
authors.forename: Helga
authors.initials: H
authors.lastname: Gimbel
authors.forename: Vibeke
authors.initials: V
authors.lastname: Zobbe
authors.forename: Birthe Jakobsen
authors.initials: BJ
authors.lastname: Andersen
authors.forename: Helle Christina
authors.initials: HC
authors.lastname: Sørensen
authors.forename: Kim
authors.initials: K
authors.lastname: Toftager-Larsen
authors.forename: Katrine
authors.initials: K
authors.lastname: Sidenius
authors.forename: Nini
authors.initials: N
authors.lastname: Møller
authors.forename: Ellen Merete
authors.initials: EM
authors.lastname: Madsen
authors.forename: Mogens
authors.initials: M
authors.lastname: Vejtorp
authors.forename: Helle
authors.initials: H
authors.lastname: Clausen
authors.forename: Annie
authors.initials: A
authors.lastname: Rosgaard
authors.forename: John
authors.initials: J
authors.lastname: Villumsen
authors.forename: Christian
authors.initials: C
authors.lastname: Gluud
authors.forename: Bent S
authors.initials: BS
authors.lastname: Ottesen
authors.forename: Ann
authors.initials: A
authors.lastname: Tabor
mesh_terms: 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