PMID: 11911100Mar 26, 2002Paper

The contribution of hysterectomy to the occurrence of urge and stress urinary incontinence symptoms

BJOG : an International Journal of Obstetrics and Gynaecology
C H van der VaartA P M Heintz

Abstract

To study the contribution of hysterectomy to the occurrence of urge-or stress urinary incontinence symptoms. A population-based, cross-sectional cohort study conducted in 1999. A university medical centre in The Netherlands. Random sample of 2322 women, between 35 and 70 years of age, from a suburban area in the central part of The Netherlands. Self-report questionnaire with questions from the Urogenital Distress Inventory, sociodemographic variables and data on obstetric and gynaecological history. Multivariate logistic regression analysis was used to obtain odds ratios with 95% confidence interval of the type and bothersomeness of urinary incontinence for hysterectomy. One thousand, six hundred and twenty-six women (70%) responded. The adjusted odds of urge (1.9, 1.4;2.6) and bothersome urge (2.6, 1.4;4.4) urinary incontinence were increased for women who had a hysterectomy. This association was not limited to the elderly but also occurred in women under 60 years of age. No increased odds of stress or bothersome stress incontinence were found. Meta-analysis has shown that hysterectomy increases the odds of urinary incontinence by 30%. However, a distinction between the different types of urinary incontinence symptoms has not ...Continue Reading

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