[The end to the myth that hysterectomy has negative effects on the function of pelvic organs].
Hysterectomy is sometimes considered the starting point of pelvic floor symptoms, such as urinary incontinence, constipation and sexual disturbances. However, it is questionable whether there is a causal relationship. Such an effect was not found in numerous prospective controlled studies. There is a striking discrepancy between prospective controlled studies and retrospective and cross-sectional studies in this regard. Retrospective and cross-sectional studies frequently report a negative effect of hysterectomy on pelvic organ function. On the basis of the recent literature it may be concluded that non-radical hysterectomy has no detrimental effect on pelvic organ functions.
Vierhout
M E
ME
Universitair Medisch Centrum St Radboud, afd. Gynaecologie, Postbus 90101, 6500 HB Nijmegen. m.vierhout@obgyn.umcn.nl
D003430:Cross-Sectional Studies; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D017773:Pelvic Floor / Q000502:physiology*; D010388:Pelvis / Q000502:physiology*; D016032:Randomized Controlled Trials as Topic; D014549:Urinary Incontinence / Q000209:etiology