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.
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.
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