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Urodynamic changes following laparoscopic versus vaginal hysterectomy

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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Dobbas SP, Jackson SR, Wilison AM, et al. A prospective random-ized trial comparing continuous bladder drainage with catheteriza-tion at abdominal hysterectomy, Br J Urol. 1997; 80:554. DOI: https://doi.org/10.1046/j.1464-410X.1997.t01-1-00376.x
Wright ID, Herzog TJ, Ananth CV, et al. Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynaecol. 2013; 122:233. DOI: https://doi.org/10.1097/AOG.0b013e318299a6cf
Sculpher M, Manca A, Abbott J, et al. Cost effectiveness analysis of laparoscopic hysterectomy compared with standard hysterectomy, results from a randomized trial. BMJ. 2004; 328:134. DOI: https://doi.org/10.1136/bmj.37942.601331.EE
Lonnerfors C, Reynisson P, Persson I. A randomized trial com-paring vaginal and laparoscopic hysterectomy vs robot assisted hys-terectomy. J Mini Invasive Gynaecol. 2015; 22:78. DOI: https://doi.org/10.1016/j.jmig.2014.07.010
Thakar R. Dispelling the myth –does hysterectomy cause pelvic organ dysfunction? BJOG 2004; 111 (Suppl 1):20-3. DOI: https://doi.org/10.1111/j.1471-0528.2004.00461.x
Bohlin K, Ankardal M, Lindkvist H, Milsom I. Factors influencing the incidence and remission of urinary incontinence after hysterecto-my. Am J Obstet Gynecol. 2017; 216:53. e1. DOI: https://doi.org/10.1016/j.ajog.2016.08.034
Chen J, Chen C, Li Y, et al. Impact of radical hysterectomy on the trans obturator sling pathway: A retrospective three-dimensional magnetic resonance imaging study. Int Urogynecol J. 2017; 2:1359. DOI: https://doi.org/10.1007/s00192-017-3533-y
Kupec T, Pecks U, Graf C, et al. Size does not make the difference: 3D/4D Trans perineal sonographic measurement of the female ure-thra in the assessment of urinary incontinence subtypes. Bio Med Res Int. 2016:1-6. DOI: https://doi.org/10.1155/2016/1810352
Jackson S, Donovan J, Brookes S, et al. The Bristol Female Lower Urinary Tract Symptoms questionnaire: development and psychome-tric testing. Br J Urol. 1996; 77:805. DOI: https://doi.org/10.1046/j.1464-410X.1996.00186.x
Ramdhan RC, Loukas M, Tubbs RS. Anatomical complications of hysterectomy: A review. Clin Anat. 2017; 30:946. DOI: https://doi.org/10.1002/ca.22962
Skorupska K, Miotła P, Kubik-Komar A, et al. Urinary inconti-nence after hysterectomy- does type of surgery matter? Ginekol. Polska. 2016; 87:94. DOI: https://doi.org/10.17772/gp/61551
Polat M, Kahramanoglu I, Senol T, et al. Comparison of the effect of laparoscopic andabdominal hysterectomy on lower urinary tract function, vaginal length, and dyspareunia: A randomized clini-cal trial. J Laparoendosc Adv Surg Tech. 2016; 26:116. DOI: https://doi.org/10.1089/lap.2015.0437
Heydari F, Motaghed Z, Abbaszadeh S. Relationship between hysterectomy and severity of female stress urinary incontinence. Electron Physician. 2017; 9:4678. DOI: https://doi.org/10.19082/4678
Pomian A, Majkusiak W, Kociszewski J, et al. Demographic fea-tures of female urethra length. Neurourol. Urodynamics. 2018; 37:1751. DOI: https://doi.org/10.1002/nau.23509
El-Toukhy T A, Hefini M, Davies A, et al. The effect of different types of hysterectomy on urinary and sexual functions: a prospective study. J Obstet Gynecol. 2004; 24:420. DOI: https://doi.org/10.1080/01443610410001685574
Gupta S, Manyonda I. Hysterectomy for benign gynecological disease. Current Obstet Gynecol. 2006; 16:147. DOI: https://doi.org/10.1016/j.curobgyn.2006.04.004

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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