Int Urogynecol J (2017) 28:1341–1349 DOI 10.1007/s00192-017-3268-9 ORIGINAL ARTICLE Patient-reported lower urinary tract symptoms after hysterectomy or hysteroscopy: a study from the Swedish Quality Register for Gynecological Surgery 1,2 1 3 4 Mathias Pålsson & Jan-Henrik Stjerndahl & Gabriel Granåsen & Mats Löfgren & Karin Sundfeldt Received: 25 October 2016 /Accepted: 4 January 2017 /Published online: 23 January 2017 The Author(s) 2017. This article is published with open access at Springerlink.com Abstract rates of de novo urinary incontinence between women with Introduction and hypothesis Hysterectomy is sometimes con- hysterectomy and women with hysteroscopy (7.6%, 95% CI sidered the cause of lower urinary tract symptoms (LUTS). 6.3–9.0, and 3.2%, 95% CI 1.6–6.5, respectively). Of the We hypothesized that hysterectomy for abnormal uterine women with a large uterus, 58.6% (95% CI 51.5–65.5) report- bleeding and/or symptoms of fibroids is more likely to cause ed relief of urinary incontinence and 85.5% (95% CI 82.3– LUTS than a hysteroscopic procedure for the same 88.4) reported relief of urinary urgency postoperatively. indications. Conclusions Our results suggest that it is important to indi- Methods Two groups of women were compared: one group vidualize preoperative information in women prior to hyster- comprised 3,618 women who had
International Urogynecology Journal – Springer Journals
Published: Jan 23, 2017
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