The effects of simple hysterectomy on vesicourethral function

Many women who present with symptoms of bladder dysfunction relate the onset to the operation of simple hysterectomy. A group of 42 women undergoing simple hysterectomy was studied prospectively. Urinary symptoms, urodynamic findings and sacral reflex latencies (SRLs) were assessed pre- and post-ope...

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Bibliographic Details
Published inBritish journal of urology Vol. 64; no. 6; p. 594
Main Authors Parys, B T, Haylen, B T, Hutton, J L, Parsons, K F
Format Journal Article
LanguageEnglish
Published England 01.12.1989
Subjects
Adult
Aged
Clitoris - innervation
Female
Humans
Hysterectomy - adverse effects
Middle Aged
Neural Conduction
Prospective Studies
Reflex - physiology
Sensory Thresholds - physiology
Urethra - innervation
Urination Disorders - etiology
Urination Disorders - physiopathology
Urodynamics
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Summary:Many women who present with symptoms of bladder dysfunction relate the onset to the operation of simple hysterectomy. A group of 42 women undergoing simple hysterectomy was studied prospectively. Urinary symptoms, urodynamic findings and sacral reflex latencies (SRLs) were assessed pre- and post-operatively. After hysterectomy the incidence of urinary symptoms increased from 58.3 to 75.0%. Vesicourethral dysfunction was altered in 30.6% of patients, 72.7% of whom had evidence of pelvic neuropathy as detected by SRLs. The results show that simple hysterectomy is associated with a significant incidence of post-operative vesicourethral dysfunction and that there is an identifiable neurological abnormality incurred at operation which is pertinent to the subsequent disordered voiding.
ISSN:0007-1331
DOI:10.1111/j.1464-410X.1989.tb05316.x