https://doi.org/10.4081/aiua.2022.3.315

Urodynamic changes following laparoscopic versus vaginal hysterectomy

Vol. 94 No. 3 (2022)
Submitted: July 10, 2022
Accepted: July 17, 2022
Published: September 26, 2022
Hysterectomy; Uroflowmetry; Urodynamic.
Abstract Views: 863
pdf: 512
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Authors

Tamer Abouelgreed
dr_tamer_ali@yahoo.com
Department of Urology, Al-Azhar University, Cairo, Egypt; Al Zahra Private Hospital, NMC Medical group, United Arab Emirates.
Doaa Saleh
Department of Obstetrics and gynaecology, Al-Azhar University, Cairo, Egypt.
Mohamed Abdelaal
Department of Urology, Al-Azhar University, Cairo, Egypt.
Adel Elatreisy
Department of Urology, Al-Azhar University, Cairo, Egypt.
Mohamed Elhelaly
Department of Urology, Al-Azhar University, Cairo, Egypt.
El-Sayed El-Agamy
Department of Urology, Al-Azhar University, Cairo, Egypt.
Ahmed Elgammal
Department of Urology, Al-Azhar University, Cairo, Egypt.
Ashraf Moawad
Al Zahra Private Hospital, NMC Medical group, UAE; Department of Obstetrics and gynaecology, Al-Azhar University, Cairo, Egypt.

Objective: To compare urodynamic changes before and after hysterectomy (laparoscopic vs. vaginal approach) for benign gynecological diseases.
Patients and methods: A total of 90 women with a mean age of 56.36-years were enrolled in this study between August 2019 and April 2021. They were divided into two equal groups
(45 patients each). Group, I had a vaginal hysterectomy, and Group II had a laparoscopic hysterectomy. All patients were assessed clinically using ICIQ-FLUTS questionnaire and a uro-dynamic study before and six months after surgery.
Results: Both vaginal and laparoscopic hysterectomy did not significantly change the maximum flow rate, voiding time, and average flow rate. The increase in residual urine volume in group I was not significant (p = 0.129), as was in Group II
(p = 0.217). All the modifications, however, were within permis-sible limits. According to the cystometry result, volume at initial sensation rose in both groups after surgery, with no statistically significant difference (p = 0.364). After both forms of hysterecto-my, maximum bladder capacity did not vary considerably. Preoperatively, all study participants exhibited no overactivity of the detrusor muscle; nevertheless, following surgery, overac-tivity was noted in 9 patients after vaginal hysterectomy com-pared to three patients after laparoscopic hysterectomy, and all the alterations were within a clinically acceptable range. In addition, the ICIQ-FLUTS score was not significantly different between the study groups.
Conclusions: According to the urodynamic study, hysterectomy for benign uterine conditions, whether vaginal or laparoscopic did not adversely affect urinary bladder function.

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How to Cite

Abouelgreed, T., Saleh, D., Abdelaal, M. . . . . . . . . . . ., Elatreisy, A., Elhelaly, M., El-Agamy, E.-S., Elgammal, A., & Moawad, A. (2022). Urodynamic changes following laparoscopic versus vaginal hysterectomy. Archivio Italiano Di Urologia E Andrologia, 94(3), 315–318. https://doi.org/10.4081/aiua.2022.3.315

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