The Effects of Abdominal Hysterectomy on Bladder Neck and Urinary Incontinence

Summary We assessed the bladder neck (BN) by perineal ultrasonography of 39 patients before and 1 year after hysterectomy, and we compared them with 30 control cases in terms of stress urinary incontinence. We evaluated the BN position and mobility in the downwards and backwards directions. The blad...

Full description

Saved in:

Bibliographic Details
Published in:	Australian & New Zealand journal of obstetrics & gynaecology Vol. 39; no. 2; pp. 239 - 242
Main Authors:	Demirci MD, Fuat, Ozden MD, Selcuk, Alpay MD, Zeynep, Demirci MD, Elif Tozkir
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Publishing Ltd 01-05-1999
Subjects:	Adult Female Humans Hysterectomy Middle Aged Prospective Studies Urinary Bladder - pathology Urinary Incontinence, Stress - etiology Urinary Incontinence, Stress - pathology Urinary Incontinence, Stress - physiopathology Urodynamics
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Summary We assessed the bladder neck (BN) by perineal ultrasonography of 39 patients before and 1 year after hysterectomy, and we compared them with 30 control cases in terms of stress urinary incontinence. We evaluated the BN position and mobility in the downwards and backwards directions. The bladder neck was found to be significantly lower at rest, in the downwards direction, in the postoperative period. The stress position of the BN was not significantly different. Its downwards mobility decreased, but not significantly. There was no significant difference in the location of the BN with respect to the pubis, at rest and during stress, in the backwards direction, between the preoperative and postoperative periods. Backwards mobility of the BN decreased significantly following hysterectomy. Stress incontinence was not significantly different between the study group and the control group after one year. We concluded that hysterectomy did not weaken urethral support and did not increase the rate of stress incontinence.
Bibliography:	ArticleID:AJO239 ark:/67375/WNG-G2V64Z5R-C istex:4AAF86C292D35A5F5C7ACB863A200B0D04075CE5 Staff Specialist. Medical Officer. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0004-8666 1479-828X
DOI:	10.1111/j.1479-828X.1999.tb03381.x