Journal of SAFOMS

Register      Login

VOLUME 7 , ISSUE 2 ( July-December, 2019 ) > List of Articles

Original Article

Effect of Laparoscopic and Abdominal Hysterectomy on Urinary Incontinence

Gökmen Sukgen, Ünal Türkay

Keywords : Abdominal hysterectomy, Dysfunction, Incontinence, Laparoscopic hysterectomy

Citation Information : Sukgen G, Türkay Ü. Effect of Laparoscopic and Abdominal Hysterectomy on Urinary Incontinence. J South Asian Feder Menopause Soc 2019; 7 (2):50-53.

DOI: 10.5005/jp-journals-10032-1182

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Aim: Although hysterectomy is considered to be a safe operation, there are possible long-term effects of this procedure including urinary incontinence (UI) that has not been discussed much in the literature. This study investigated the effect of the hysterectomy on UI using Wilcoxon ranking and the Chi-square test of independence. Materials and methods: Urinary incontinence symptoms of 52 patients who underwent abdominal hysterectomy (AH) and 34 patients who underwent laparoscopic hysterectomy (LH) were compared before and after the operation. Results: The results indicated that preoperatively the participants who had LH developed higher levels of irritative symptoms, obstructive symptoms, and urogenital distress than that of participants who had AH. After the operation, UI symptoms of the participants decreased in both of the groups, and there were no significant differences between patients who underwent AH and those who underwent LH. Conclusions: While this study provides significant information about the effects of hysterectomy on UI, the analysis of the results suggests that it is important to inform patients with evidence-based research studies about the effects of hysterectomy on UI. The findings indicated that the UI symptoms decreased after the hysterectomy and that there were no significant differences in UI symptoms for patients who had LH and AH. The result revealed that both of the procedures were effective in decreasing symptoms. Clinical significance: While this study provides significant information about the effects of hysterectomy on UI, the analysis of the results suggests that it is important to inform patients with evidence-based research studies about the effects of hysterectomy on UI. Both of the procedures can be applied. However, physicians using their clinical and medical investigations and examination skills should decide which procedure is more appropriate for the patients and inform the patients about the possible outcomes of both procedures.

PDF Share
  1. Garry R. The future of hysterectomy. BJOG 2005;112(2):133–139. DOI: 10.1111/j.1471-0528.2004.00431.x.
  2. Sparic R, Hudelist G, Berisava M, et al. Hysterectomy throughout history. Acta Chir Iugosl 2011;58(4):9–14. DOI: 10.2298/ACI1104009S.
  3. Saini J, Kuczynski E, Gretz 3rd HF, et al. Supracervical hysterectomy versus total abdominal hysterectomy: perceived effects on sexual function. BMC Womens Health 2002;2(1):1. DOI: 10.1186/1472- 6874-2-1.
  4. Robert M, Soraisham A, Sauve R. Postoperative urinary incontinence after total abdominal hysterectomy or supracervical hysterectomy: a metaanalysis. Am J Obstet Gynecol 2008;198(3):264.e1–264.e5. DOI: 10.1016/j.ajog.2007.09.033.
  5. Brown JS, Sawaya G, Thom DH, et al. Hysterectomy and urinary incontinence: a systematic review. Lancet 2000;356(9229):535–539. DOI: 10.1016/S0140-6736(00)02577-0.
  6. Abrams P, Andersson KE, Birder L, et al. Fourth international consultation on incontinence recommendations of the international scientific committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn 2010;29(1):213–240. DOI: 10.1002/nau.20870.
  7. Kjerulff KH, Langenberg PW, Greenaway L, et al. Urinary incontinence and hysterectomy in a large prospective cohort study in American women. J Urol 2002;167(5):2088–2092. DOI: 10.1016/S0022-5347(05)65091-4.
  8. Thakar R. Dispelling the myth—does hysterectomy cause pelvic organ dysfunction? BJOG 2004;111(Suppl 1):20–23. DOI: 10.1111/j.1471-0528.2004.00461.x.
  9. de Tayrac R, Chevalier N, Chauveaud-Lambling A, et al. Is vaginal hysterectomy a risk factor for urinary incontinence at long-term follow-up? Eur J Obstet Gynecol Reprod Biol 2007;130(2):258–261. DOI: 10.1016/j.ejogrb.2006.01.032.
  10. Milsom I, Ekelund P, Molander U, et al. The influence of age, parity, oral contraception, hysterectomy and menopause on the prevalence of urinary incontinence in women. J Urol 1993;149(6):1459–1462. DOI: 10.1016/S0022-5347(17)36415-7.
  11. Brown JS, Seeley DG, Fong J, et al. Urinary incontinence in older women: who is at risk? Study of osteoporotic fractures research group. Obstet Gynecol 1996;87(5 Pt 1):715–721. DOI: 10.1016/0029-7844(96)00013-0.
  12. Utomo E, Korfage IJ, Wildhagen MF, et al. Validation of the urogenital distress inventory (UDI-6) and incontinence impact questionnaire (IIQ-7) in a Dutch population. Neurourol Urodyn 2015;34(1):24–31. DOI: 10.1002/nau.22496.
  13. Naru T, Haq F, Rizvi JH. Urinary incontinence following gynaecological surgery. Obstet Gynaecol Reprod Med 2007;17(9):266–271. DOI: 10.1016/j.ogrm.2007.07.005.
  14. Hock M, Tóth S, Hartmann G, et al. Quality of life, sexual functions and urinary incontinence after hysterectomy in hungarian women. Am J Health Res 2015;3(6):393–398. DOI: 10.11648/j.ajhr.20150306.23.
  15. Thakar R, Ayers S, Georgakapolou A, et al. Hysterectomy improves quality of life and decreases psychiatric symptoms: a prospective and randomised comparison of total versus subtotal hysterectomy. BJOG 2004;111(10):1115–1120. DOI: 10.1111/j.1471-0528.2004.00242.x.
  16. Lee CF, Wen FH, Lin SS, et al. Changing quality of life in hysterectomized women. J Formos Med Assoc 2009;108(5):414–422. DOI: 10.1016/S0929-6646(09)60086-3.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.