Study of the effect of total abdominal hysterectomy on the lower urinary tract function

The effect of simple abdominal hysterectomy on the storage function of the lower urinary tract was studied by comparison of pre-and postoperative urodynamic parameters at two and six weeks after the operation. A statistically significant reduction in maximum cystometric capacity and volume and cystometric pressure at first desire of urination was found together with a decline in peak flow of urine at two weeks postoperatively. However, there was a rise in these changes towards normal at six weeks postoperatively but not to the preoperative values. No evidence was found that hysterectomy contributed to the development of involuntary detrusor contractions and motor urge incontinence. No increase in stress incontinence was seen after hysterectomy

Transmyometrial pelvic venography N pill-users

Transmyometrial pelvic venography in pill-users [18 cases], revealed normal venograms in 4 cases [22%], while abnormal venograms were detect in the remaining 14 cases [78%]. The commonest abnormal venous pattern noted was bilateral pelvic varicocele and stasis in 8 cases [57%]. It was specially marked in the pampiniform plexus of veins. The next common abnormal venographic finding was uterine congestion which was found in 5 ladies [35%]. This was found in the group of Para 5 or more. A very important abnormal venographic finding found in 3 ladies [22%] was ovarian vein thrombosis. This should he seriously considered. It occurred irrespective of the duration of use of pills. Abnormal venograms were minly found in those above 30 years of age. Pelvic venography is recommended in pill-users, especially those a bove 30 years of age, those of high parities, those with lower limb varicosities and cases who have used pills for 5 years or more

Transmyometrial pelvic venography in intrauterine contraceptive device [IUCD] wearers

Transmyometrial pelvic venography was done 18 cases wearing the lippes loop and 18 cases wearing the TCu 200, B, while 10 cases were taken as control. Norma1 venograms were detected in only 22.5% of cases wearing the lippes, loop as compared to 50% of cases wearing the TCu 200 B. Abnormal venograms, showing both varicosities and stasis, were observed in 77.5% of cases wearing the Lippes loop, as compared to only 50% of cases wearing the TCu 200 B. The latter eases showed only stasis without dilatation or varicosities. The main bulk of abnormal venographic findings was observed in those of high parities, and those using the IUCD for more than 3 years. Increased menstrual blood loss was seen in 10 cases wearing the Lippes loop, as compared to only 6 cases wearing the TCu 200 B, and this could be explained by the higher incidence of both varicosities, stasis and uterine congestion associated with the Lippes loop. Thus, another mechanism for the increased menstrual blood loss with IUCD's was introduced, primarily based on the abnormal pelvic venographic findings which were of higher incidence with the Lippes loop variety