Postoperative urinary incontinence after total abdominal hysterectomy or supracervical hysterectomy: a metaanalysis

American Journal of Obstetrics and Gynecology
Magali RobertReg Sauve

Abstract

A metaanalysis of randomized trials was conducted to evaluate if the type of hysterectomy, total abdominal hysterectomy or supracervical hysterectomy, has an impact on the development of urinary incontinence. We searched MEDLINE, EMBASE, CINAHL, Biological Abstract, and the Cochrane Library up to February 2007; abstracts at major meetings and bibliographies of retrieved articles were scanned. A fixed effect model was used to calculate summary relative risk estimates and 95% confidence intervals (CIs). Analysis showed no statistical difference in the risk of developing stress or urge urinary incontinence in women who underwent supracervical hysterectomy compared with women who underwent total abdominal hysterectomy (relative risk, 1.3; 95% CI, 0.94-1.78; P = 0.16 and relative risk, 1.37; 95% CI, 0.77-2.46; P = .25). There is no statistical evidence of a different risk for developing either stress or urge urinary incontinence after a supracervical hysterectomy or a total hysterectomy.

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Citations

Nov 30, 2011·Archives of Gynecology and Obstetrics·Deslyn T G HobsonAwoniyi O Awonuga
Aug 28, 2009·Current Urology Reports·Christopher Jayne, Bianca A Gago
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