Urogynaecological dysfunction after radical hysterectomy.
OBJECTIVE
To identify self-reported urogynaecological dysfunctions in women treated by radical hysterectomy, and predict risk factors.


METHODS
A survey using questionnaires. Questionnaires were mailed to 396 patients.


RESULTS
Symptoms of urinary incontinence and urinary retention were reported by more than one-third, respectively. One-third of the patients reported cystitis and dysuria. However, 78% of the women did not consider their symptoms as a problem. Analyses identified body mass index, at least one delivery, pre-operative urinary incontinence, and pulmonary disease as predictors for development of post-operative urinary incontinence. Predictive variables for urinary retention symptoms were age, cystitis and/or dysuria, previous rupture of the anal sphincter, fetal weight at delivery > or =4000 g, sensation of vaginal dryness, and pre-operative urinary retention symptoms. Considering post-operative cystitis and/or dysuria, fetal weight > or =4000 g, sensation of vaginal dryness, cystitis and/or dysuria before the operation, and physical activity were predictive variables.


CONCLUSIONS
Patients can be informed and advised about possible urinary tract symptoms. Special attention in the pre- and post-operative period can be paid to a subgroup of patients at high risk of later urogynaecological problems.
Axelsen
S M
SM
Department of Gynaecology and Obstetrics, Skejby Hospital, Aarhus University Hospital, Brendstrupgaardsvej, DK-8200 Aarhus N, Denmark. susanne.axelsen@dadlnet.dk
Petersen
L K
LK
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D015994:Incidence; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology*; D016055:Urinary Retention / Q000453:epidemiology / Q000209:etiology*; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014623:Vaginal Diseases / Q000453:epidemiology / Q000209:etiology*