Factors influencing the incidence and remission of urinary incontinence after hysterectomy

Bohlin, Katja Stenström; Ankardal, Maud; Lindkvist, Håkan; Milsom, Ian

doi:10.1016/j.ajog.2016.08.034

Cited by 30 publications

(28 citation statements)

References 17 publications

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“…It has to be stressed out that all patients included in the current analysis presented with UI and no healthy control group was analyzed. In the past, previous hysterectomy has been associated with UI, but studies show varying results regarding the association between the type in vivo 34: 923-928 (2020) 926 of hysterectomy and UI (2)(3)(4)(5). Other authors did not find any significant difference after hysterectomy compared to controls in the prevalence or incidence proportions of UI after 10 years follow-up (13).…”

Section: Discussionmentioning

confidence: 94%

“…Some risk factors have been reported to influence development of UI. It has been associated with prior hysterectomy, but studies show varying results regarding the association between the type of hysterectomy and UI (2)(3)(4)(5). Further important risk factors are age, obstetric trauma and obesity.…”

mentioning

confidence: 99%

“…Further important risk factors are age, obstetric trauma and obesity. These risk factors may also affect the development of UI (2,6,7). Vaginal delivery, menopausal status, as well as hormone replacement therapy are also known to influence lower urinary tract symptoms (8,9).…”

mentioning

confidence: 99%

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The Onset of Urinary Incontinence in Different Subgroups and its Relation to Menopausal Status: A Hospital-based Study

Thangarajah

Hartmann-Wobbe

Ratiu

et al. 2020

In Vivo

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Background/Aim: Numerous risk factors have been reported to influence the development of urinary incontinence (UI). In this study, we took a closer look on the different forms of UI and tried to identify differences in regard to potential risk factors. Of special interest was the onset of UI symptoms and its relation to menopausal status. Patients and Methods: This was a hospital-based analysis of patients who presented with urinary incontinence in the outpatient ward of a tertiary hospital. The diagnosis of urinary incontinence was based on the subjective complaints of patients. Data concerning menopausal status, hormone replacement therapy, prior hysterectomy were assessed. Results: The mean age was 53.8 years in the SUI group, 62.7 years in the MUI group and 66.1 years in the UUI group, respectively (p<0.001). The proportion of patients with UUI was higher in the postmenopausal group, whereas the proportion of SUI was higher in the premenopausal group (p<0.001). The mean age in which complaints occurred was significantly lower in the SUI group (45.4 years) compared to the MUI (51.0 years) and UUI groups (54.7 years) (p<0.001). There was no correlation between menopausal status and onset of urinary incontinence (p=0.143). Conclusion: Additional anamnestic information help further characterize the different types of urinary incontinence that can lead to an optimization of treatment options. Younger age and premenopausal status were accompanied by milder forms of UI while menopausal status itself had no influence on the onset of UI symptoms indicating that age-related changes may lead to different types of incontinence. 923

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Section: Discussionmentioning

confidence: 94%

mentioning

confidence: 99%

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The Onset of Urinary Incontinence in Different Subgroups and its Relation to Menopausal Status: A Hospital-based Study

Thangarajah

Hartmann-Wobbe

Ratiu

et al. 2020

In Vivo

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“…4 The authors report only on development of de novo symptoms, but a recent retrospective Swedish study evaluating urinary incontinence one year after hysterectomy in over 16,000 women documented a 13% rate of remission in those who had incontinence prior to hysterectomy, with de novo symptoms developing in 9% and incontinence persisting in 16%. 5 In the Swedish study, vaginal delivery, obesity, and urgency symptoms prior to surgery were associated with decreased remission rates and increased de novo incontinence rates. It would be interesting to explore correlates with symptom remission and persistence in this prospective cohort of Turkish women.…”

Section: Post Hoc Ergo Propter Hoc? (After This Therefore Because Omentioning

confidence: 96%

Hysterectomy: More Harm Than Good or Innocent Bystander?

Rice¹,

Brown²

2017

Diseases of the Colon &Amp; Rectum

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“…In the past, urinary incontinence was associated with hysterectomies (Milsom et al, 1993;Bohlin et al, 2017). Some studies report that the vaginal approach to hysterectomy has been linked with the stress subtype of urinary incontinence (Altman et al, 2007).…”

Section: Urinary Incontinencementioning

confidence: 99%

Anatomical complications of hysterectomy: A review

Ramdhan

Loukas²,

Tubbs

2017

Clinical Anatomy

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Hysterectomy is the most commonly performed gynecological procedure in the United States with three possible surgical approaches; vaginal, abdominal and laparoscopic. As with any surgical procedure, various anatomical complications can arise. These include injuries to anatomical structures such as the urinary bladder, ureter, intestines, rectum, anus, and a multitude of nervous structures. Other complications include sexual dysfunction, vaginal cuff dehiscence, and urinary incontinence. Using standard search engines, the anatomical complications of hysterectomies are reviewed. In conclusion, surgeons who perform hysterectomies or are involved with postoperative hysterectomy patients should be familiar with the possible complications of this common procedure and the steps that can be taken to help reduce the risk of those complications. Clinicians should also inform their patients of the potential complications as they can affect lifestyle and comfort. Clin. Anat. 30:946-952, 2017. © 2017 Wiley Periodicals, Inc.

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Factors influencing the incidence and remission of urinary incontinence after hysterectomy

Cited by 30 publications

References 17 publications

The Onset of Urinary Incontinence in Different Subgroups and its Relation to Menopausal Status: A Hospital-based Study

The Onset of Urinary Incontinence in Different Subgroups and its Relation to Menopausal Status: A Hospital-based Study

Hysterectomy: More Harm Than Good or Innocent Bystander?

Anatomical complications of hysterectomy: A review

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