Hysterectomy and urinary incontinence: a systematic review

@article{Brown2000HysterectomyAU,
  title={Hysterectomy and urinary incontinence: a systematic review},
  author={Jeanette S. Brown and George F. Sawaya and David H. Thom and Deborah Grady},
  journal={The Lancet},
  year={2000},
  volume={356},
  pages={535-539}
}
BACKGROUND Serious complications after hysterectomy are estimated to occur in around six women per 10,000 hysterectomies in the USA. We did a systematic review of evidence that hysterectomy is associated with urinary incontinence. METHODS We identified English-language and non-English-language articles registered on MEDLINE from January, 1966, to December, 1997, did manual review of references, and consulted specialists. We identified 45 articles reporting on the association of urinary… Expand
Management of urinary incontinence in women: scientific review.
TLDR
To review the most recent, high-quality evidence regarding the etiology and management of urinary incontinence in women, English-language articles published between 1998-2003 are reviewed. Expand
Urinary incontinence and hysterectomy in a large prospective cohort study in American women.
TLDR
The majority of women who undergo hysterectomy for nonmalignant indications experienced improved urinary incontinence during the first 2 years after surgery. Expand
Postoperative urinary incontinence after total abdominal hysterectomy or supracervical hysterectomy: a metaanalysis.
TLDR
There is no statistical evidence of a different risk for developing either stress or urge urinary incontinence after a supracervical hysterectomy or a total hysteretomy, according to a metaanalysis of randomized trials. Expand
Urinary incontinence after hysterectomy--three-year observational study.
TLDR
The results of the 3-year prospective study showed that total hysterectomy, independent of route, was not associated with an increase in urge or stress urinary incontinence symptoms. Expand
Hysterectomy and incontinence: a study from the Swedish national register for gynecological surgery
TLDR
Factors other than hysterectomy should be discussed causing stress incontinence in women, as no differences were found among the groups. Expand
Is hysterectomy a risk factor for urinary incontinence?
TLDR
The prevalence of urinary incontinence in the natural menopause and surgicalMenopause groups was similar, thus proving that hysterectomy is not a risk factor for developing urinary incentinence, however, metabolic syndrome was found to be associated with urinaryincontinence. Expand
Hysterectomy and risk of stress-urinary-incontinence surgery: nationwide cohort study
TLDR
Hysterectomy for benign indications, irrespective of surgical technique, increases the risk for subsequent stress-urinary-incontinence surgery, and other treatment options should be considered before surgery. Expand
Urodynamic Outcomes After Hysterectomy for Benign Conditions: A Systematic Review and Meta-analysis
TLDR
Hysterectomy for benign gynecological conditions does not adversely impact urodynamic outcomes nor does it increase the risk of adverse urinary symptoms and may even improve some urinary function. Expand
Factors influencing the incidence and remission of urinary incontinence after hysterectomy
TLDR
Vaginal delivery, obesity, and daily urge symptoms without incontinence prior to surgery increased de novo urinary incentinence and had a negative influence on the rate of remission of urinary incontinent after hysterectomy, which in turn influenced patients' satisfaction with surgery. Expand
Incidence and remission of urinary incontinence after hysterectomy—a 3-year follow-up study
TLDR
Previous hysterectomy does not seem to be of great importance for the development of de novo incontinence or remission, and a large proportion of women change from continent to incontinent or fromincontinent to continent during the 3 years of investigation. Expand
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Of the associated factors that are preventable or modifiable, obesity and hysterectomy may have the greatest impact on the prevalence of daily incontinence. Expand
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Urinary incontinence in women is a common problem that can be successfully diagnosed and treated in general practice but low attendance makes the health promotion clinic setting an inefficient means of achieving this. Expand
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TLDR
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Vaginal hysterectomy with prophylactic antibiotics should be strongly considered for those women of reproductive age for whom either surgical approach is clinically appropriate. Expand
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It was obvious that in several patients suffering from urinary incontinence, written or combined written and oral interviews do not produce a clear‐cut diagnosis and that the etiology and treatment in these patients may be uncertain. Expand
The influence of age, parity, oral contraception, hysterectomy and menopause on the prevalence of urinary incontinence in women.
The influence of age, parity, duration of previous oral contraceptive use, hysterectomy and menopause on the prevalence of urinary incontinence was evaluated by means of a postal questionnaire inExpand
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