Frequency and Risk Factors of Urinary Incontinence After Hysterectomy
Abstract
Objectives: To determine the frequency of urinary incontinence developing after different types of hysterectomies performed for benign indications
and the possible risk factors associated with this condition.
Materials and Methods: Data of women who undergone hysterectomies for benign indications during one-year period were analyzed retrospectively.
Women who stated to have urinary incontinence in the twelve-month postoperative follow-up were defined as the case group. Women who did
not have urinary incontinence were the control group. Risk factors associated with urinary incontinence developing after hysterectomy were
determined by multiple regression analysis.
Results: After 300 total hysterectomies performed in a twelve-month period, urinary incontinence was detected in 44 (14.7%) women. Age over 60
years, menopause, obesity and presence of >2 grade pelvic organ prolapse were determined as significant independent factors for the development
of urinary incontinence after hysterectomy. The type of hysterectomy (abdominal, vaginal, or laparoscopic) was not a risk factor.
Conclusion: Urinary incontinence after hysterectomy can be seen with considerable frequency. Regardless of the type of hysterectomy, it is more
likely to be seen in the presence of age over 60 years, menopause, obesity, and severe prolapse.
Keywords
Hysterectomy, Urinary Incontinence, Risk Factor
Ethical Statement
Ethics Committee Approval: This study is approved by the
Academic Board of Ankara Yıldırım Beyazıt University Faculty of
Medicine, Department of Obstetrics and Gynecology (number:
2021-07-01).
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