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Current Bladder Dysfunction Reports
Erschienen in: Current Bladder Dysfunction Reports 4/2017

19.08.2017 | Reconstructed Bladder Function & Dysfunction (M Kaufman, Section Editor)

Urinary Dysfunction after Hysterectomy: Incidence, Risk Factors and Management

verfasst von: Jill M. Danford, Emily Wu

Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 4/2017

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Abstract

Purpose of Review

Hysterectomy is one of the most commonly performed surgical procedures for women. The impact of uterine removal on bladder function can negatively impact a patient’s quality of life. When contemplating route of hysterectomy, surgeons weigh risks and benefits of all potential adverse outcomes, including urinary tract considerations. This review will guide providers based on the effect of hysterectomy on urinary function, as well as summarize risk factors and postsurgical treatment recommendations should urinary dysfunction occur.

Recent Findings

Prediction of urinary dysfunction after hysterectomy is variable for most routes, however there is strong evidence that nerve-sparing radical hysterectomy decreases postoperative urinary incontinence and retention.

Summary

While all women are at risk for urinary dysfunction, those with preoperative incontinence and retention, neurologic conditions, and women undergoing uterine removal for cervical cancer or prolapse demonstrate a higher incidence of urinary symptoms. Until more evidence is available regarding predictive factors for urinary dysfunction in benign hysterectomies, comprehensive preoperative counseling and postoperative reassurance will lessen the deleterious effects on patient’s quality of life.
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Metadaten
Titel
Urinary Dysfunction after Hysterectomy: Incidence, Risk Factors and Management
verfasst von
Jill M. Danford
Emily Wu
Publikationsdatum
19.08.2017
Verlag
Springer US
Erschienen in
Current Bladder Dysfunction Reports / Ausgabe 4/2017
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-017-0442-3

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