Bladder dysfunction after Schauta hysterectomy. One-year follow-up.

American Journal of Obstetrics and Gynecology
D L Barclay, J J Roman-Lopez

Abstract

The purpose of this study was to determine the long-term effect of Schauta hysterectomy on bladder function as determined by serial cystometric studies. The maximum bladder capacity, resting pressure at maximum capacity, and volume of residual urine were determined preoperatively, postoperatively, at time of final catheter removal, and one or more years after surgery. A prior report showing that the bladder decreased in capacity, increased in tone, and, emptied poorly if at all postoperatively was confirmed. The mean duration of postoperative catheter drainage in 68 patients was 33 days. One year or more after surgery the mean maximum bladder capacity had returned to the preoperative volume; persistent elevation of the mean resting pressure was significant in the pooled but not in the paired data; the mean residual urine volume of 25 ml. was significantly elevated. The assumption was that maintenance of intrinsic detrusor muscle tone by prevention of overdistention preserved balanced bladder function. Many patients initiated and maintained micturition by voluntary straining or by use of Crede's maneuver although others voided relatively normally. Presumably these bladders are denervated to varying degrees, producing a spectrum ...Continue Reading

Citations

Nov 30, 2014·International Urogynecology Journal·Fouad Aoun, Roland van Velthoven
Aug 1, 1989·Irish Journal of Medical Science·B M CoughlanC T Moriarity
Jun 1, 1982·The Journal of Urology·J R Woodside, E J McGuire
Jan 1, 1977·Acta Orthopaedica Scandinavica·M L NielsenL Palm
Apr 13, 2000·The Journal of Obstetrics and Gynaecology Research·Y KuwabaraN Mitsuhashi
Dec 17, 2014·Advances in Urology·Fouad AounRoland van Velthoven

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.