Hysterectomy Is Associated with Stress Incontinence in Women Who Previously Had a Transcervical Endometrial Resection

Abstract

Objectives: To compare the prevalence of urological symptoms in a population of women, who had a transcervical endometrial resection (TCER) only, and a population of women, who had a TCER and a subsequent hysterectomy. The superior goal was to evaluate the possible association between hysterectomy and urinary incontinence. Design: All women, who had a TCER at our department during the period of 1990–1996 received a questionnaire with focus on urological symptoms. The answers from women, who later had a hysterectomy were compared to the answers from women, who were sufficiently treated with TCER only. Results: Of 356 women, who were alive, 16 were lost to follow-up, leaving 340 women to receive the questionnaire, which was returned by 310 women (85%). Ninety-three (31%) had a subsequent hysterectomy mainly indicated by metrorrhagia or dysmenorrhea. Of the hysterectomized women 24% reported bothersome stress incontinence against 14% in the group of women, who had TCER only (p = 0.03). No significant difference was seen with respect to urge incontinence, urgency, pollakisuria or nocturia. Significantly more women with a normal sized uterus reported bothersome stress incontinence after the hysterectomy compared to women with a slightly enlarged uterus. Conclusion:Hysterectomy is significantly associated with stress urinary incontinence in women, who previously had a TCER.

Influence of Body Mass Index on hysterectomy rates after endometrial resection

“…Resection was carried out using a standard 9‐mm resectoscope with glycine as distension medium. As part of another investigation on urological symptoms (3), all patient records were reviewed in 2005 using the central computerized patient registration system in Denmark, to clarify whether the women had a later hysterectomy.…”

Impact de l’hystérectomie sur l’incontinence urinaire : revue de la littérature

“…S. Allahdin et al (6), en 2008, confirmaient ces résultats avec un taux de consultation pour incontinence urinaire de novo à 10 ans significativement plus élevé dans le groupe hystérectomie que dans celui des endométrectomies (15% vs 7% dans le groupe hystéroscopie, p=0,009). En 2006, Krogh et al (7), dans une étude contrôlée évaluant les TUBAs à long terme dont l'IUE et l'IUU, montraient que l'hystérectomie exposait à un risque significativement plus élevé d'IUE avec retentissement sur la qualité de vie que le groupe traité par hystéroscopie (24% versus 13% respectivement, p=0,03 avec un OR 2,1 (IC95% 1,1-4,0)) dans les 7 années suivant l'intervention. Il n'y avait cependant pas de différence significative pour l'IUU (5% versus 10% dans le groupe hystérectomie, p=0,21).…”

Effects of Calcium on Calmodulin and bFGF/FGF-2 Expression: In Vitro Study on the Sacrouterine Ligament

“…1 Pregnancy and childbirth are considered to be the main factor that causes weakness of the vaginal wall and its supports. 2,16 The extracellular matrix plays an important role because accelerated remodeling in POP patients is caused by biochemical changes in the extracellular matrix such as collagen, elastin, and stromal cells. Myofibroblasts play an important role in the remodeling of the extracellular matrix and its regulation by matrix cell regulators such as matrix metalloproteases (MMPs) and tissue inhibitors of metalloproteinases (TIMP).…”