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Urinary Incontinence and Hysterectomy in a Large Prospective Cohort Study in American Women

2002; Lippincott Williams & Wilkins; Volume: 167; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(05)65091-4

1527-3792

Kristen H. Kjerulff, Patricia Langenberg, LaVONNE GREENAWAY, Jane Uman, Lynn A. Harvey,

Pregnancy-related medical research

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 May 2002Urinary Incontinence and Hysterectomy in a Large Prospective Cohort Study in American Women KRISTEN H. KJERULFF, PATRICIA W. LANGENBERG, LaVONNE GREENAWAY, JANE UMAN, and LYNN A. HARVEY KRISTEN H. KJERULFFKRISTEN H. KJERULFF , PATRICIA W. LANGENBERGPATRICIA W. LANGENBERG , LaVONNE GREENAWAYLaVONNE GREENAWAY , JANE UMANJANE UMAN , and LYNN A. HARVEYLYNN A. HARVEY View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65091-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We investigated the effects of hysterectomy with and without concomitant urinary incontinence repair on incontinence severity in one of the largest prospective studies of hysterectomy outcomes performed in the United States. Materials and Methods: We administered the Urinary Symptoms Scale for Women to 1,299 women before hysterectomy done for benign conditions, and 6, 12, 18 and 24 months postoperatively to measure the presence, severity and type of urinary incontinence. Results: Before hysterectomy 29.5% of participants had severe urinary incontinence, which decreased to 10% 12 and 24 months after hysterectomy. Most women with severe incontinence before hysterectomy showed improved incontinence 1 year after surgery (89.1%) and were still improved after 2 years (86.5%). The majority of women with moderate incontinence before hysterectomy showed improved incontinence 1 year after surgery (62.4%) and were still improved after 2 years (61.2%). However, some women with mild or no incontinence before hysterectomy had new onset incontinence or the condition had worsened 1 year after surgery (16.7%) and was still worse after 2 years (14.4%). A concomitant urinary incontinence repair procedure significantly increased the probability that a woman with severe incontinence would have improved incontinence 1 year after hysterectomy and significantly decreased the probability that a woman with mild or no incontinence would have worse incontinence after 2 years. Conclusions: The majority of women who undergo hysterectomy for nonmalignant indications experienced improved urinary incontinence during the first 2 years after surgery. References 1 : Hysterectomy surveillance: United States, 1980–1993. MMRW CDC Surveill Summ1997; 46: 1. Google Scholar 2 : Hysterectomy: an examination of a common surgical procedure. J Women’s Health1992; 1: 141. Google Scholar 3 : Is intrinsic sphincter deficiency a complication of simple hysterectomy?. J Urol2000; 164: 767. Abstract, Google Scholar 4 : Medical correlates of urinary incontinence in the elderly. Urology1990; 36: 129. 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Abstract, Google Scholar 21 : Hysterectomy and urinary incontinence: a systematic review. Lancet2000; 356: 535. Google Scholar From the Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland, Baltimore, Maryland© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 167Issue 5May 2002Page: 2088-2092 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsurinary incontinencehysterectomyquestionnairesMetricsAuthor Information KRISTEN H. KJERULFF More articles by this author PATRICIA W. LANGENBERG More articles by this author LaVONNE GREENAWAY More articles by this author JANE UMAN More articles by this author LYNN A. HARVEY More articles by this author Expand All Advertisement PDF DownloadLoading ...