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Effect of laparoscopic hysterectomy on bladder neck and urinary symptoms
Author(s) -
Long ChengYu,
Hsu ShihCheng,
Wu TungPi,
Fu JungChung,
Hsu YuSin,
Su JiunHuang
Publication year - 2003
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1046/j.0004-8666.2003.00019.x
Subject(s) - medicine , nocturia , hysterectomy , neck of urinary bladder , urinary system , urinary incontinence , urology , incidence (geometry) , laparoscopic hysterectomy , urinary bladder , surgery , physics , optics
Objective: To assess the effect of laparoscopic hysterectomy (LH) on the mobility and position of bladder neck (BN) and urinary symptoms. Design: We assessed the BN and urinary symptoms of 151 patients by introital ultrasonography and questionnaires before and after LH. Sample: One hundred and fifty‐one women who underwent LH from June 1999 to June 2001. Results: A significant decrease was noted in the number of women exhibiting one or more urinary symptoms from 81 (53.6%) preoperatively to 58 (38.4%) postoperatively ( P < 0.01). The incidence of urinary frequency, mild stress incontinence and nocturia decreased significantly after laparoscopic hysterectomy ( P < 0.01). Changes in other urinary symptoms following hysterectomy showed no statistical significance ( P > 0.05). During straining, the postoperative position of the BN localised more dorsally ( P < 0.01) and the ventral mobility of the BN decreased significantly following surgery ( P < 0.05). There was no significant difference in the location of the BN with respect to the pubis at rest and during straining, in the cephalocaudal direction, before and after hysterectomy ( P > 0.05). Conclusion: Some patients experienced a substantial improvement of preoperative urinary symptoms following LH, partly as a result of a decrease in the hypermobility of BN.