Hysterectomy is associated with stress incontinence in women who previously had a transcervical endometrial resection.
OBJECTIVE
To compare the prevalence of urological symptoms in a population of women, who had a transcervical endometrial resection (TCER) only, and a population of women, who had a TCER and a subsequent hysterectomy. The superior goal was to evaluate the possible association between hysterectomy and urinary incontinence.


METHODS
All women, who had a TCER at our department during the period of 1990-1996 received a questionnaire with focus on urological symptoms. The answers from women, who later had a hysterectomy were compared to the answers from women, who were sufficiently treated with TCER only.


RESULTS
Of 356 women, who were alive, 16 were lost to follow-up, leaving 340 women to receive the questionnaire, which was returned by 310 women (85%). Ninety-three (31%) had a subsequent hysterectomy mainly indicated by metrorrhagia or dysmenorrhea. Of the hysterectomized women 24% reported bothersome stress incontinence against 14% in the group of women, who had TCER only (p = 0.03). No significant difference was seen with respect to urge incontinence, urgency, pollakisuria or nocturia. Significantly more women with a normal sized uterus reported bothersome stress incontinence after the hysterectomy compared to women with a slightly enlarged uterus.


CONCLUSIONS
Hysterectomy is significantly associated with stress urinary incontinence in women, who previously had a TCER.
Krogh
Rubab Agha
RA
Department of Gynecology and Obstetrics, Herning/Holstebro Hospital, Ringkoebing County, Herning, Denmark.
Neumann
Gudrun Astrid
GA
Lauszus
Finn Friis
FF
Guttorm
Eigil
E
Rasmussen
Kjeld Leisgaard
KL
D000328:Adult; D003718:Denmark / Q000453:epidemiology; D004412:Dysmenorrhea / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D015907:Hysteroscopy; D008595:Menorrhagia / Q000601:surgery; D008875:Middle Aged; D016017:Odds Ratio; D011183:Postoperative Complications / Q000453:epidemiology*; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000453:epidemiology*; D053202:Urinary Incontinence, Urge / Q000453:epidemiology; D014599:Uterus / Q000033:anatomy & histology