Effect of different hysterectomy techniques on tzhe bladder function

ABSTRACT

This prospective study was carried out to evaluate the effect of different hysterectomy techniques on the bladder function as a reservoir. This study was carried out in the period from May 1999 and August 2000. Fifty attendants were included in the study. The age range of the patients was 43-70 years with a mean of 48 +/- 8.5 years. Preoperative routine investigations and cystometry were done for all patients. The patients were classified into three groups according to the operative procedure done Group 1 20 patients were included for whom simple total abdominal hysterectomy was done. Group I116 patients were included for whom subtotal abdominal hysterectomy was done. Group III 14 patients were included for whom vaginal hysterectomy was done. 40% of all patients presented with pelviabdominal mass, cystometry was done for all patients before and after the operation, it showed increase in the bladder compliance to a significant level at first desire in group I. In Group II, there was insignificant increase in bladder compliance. In Group III, there was a significant decrease in the postoperative bladder compliance so we conclude that simple total abdominal hysterectomy is the procedure of choice for all women presenting with an indication for abdominal hysterectomy and it should not be replaced by subtotal hysterectomy because it has no negative effect on bladder function