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

ABSTRACT

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