| Autor: |
Erin, Recep, Ünsal, Mesut Abdülkerim, Güven, Süleyman, Aran, Turhan, Bozkaya, Hasan |
| Předmět: |
|
| Zdroj: |
Journal of Gynecologic Surgery; Apr2021, Vol. 37 Issue 2, p139-143, 5p |
| Abstrakt: |
Objectives: The aim of this study was to compare urodynamics parameters at pre- and postoperative periods in patients undergoing intrafascial or extrafascial abdominal hysterectomy. Background: Hysterectomy carries the risk of damage to the pelvic splanchnic nerve, which leads to the development of urinary incontinence. Materials and Methods: Women scheduled for total abdominal hysterectomy were randomized to intrafascial (n = 24) and extrafascial (n = 27). All of the 10 urodynamics parameters investigated in the two techniques at pre- and postoperative periods were compared. p < 0.05 was chosen to represent the statistical significance for each of the variables. Results: We observed by urodynamics investigation at preoperative and sixth month postoperative periods no urinary incontinence in patients subjected to intrafascial or extrafascial total abdominal hysterectomy. There was no difference between the two techniques with respect to maximum detrussor pressure, maximum abdominal pressure, strong micturition requirement, vesical compliance, detrusor compliance, maximum vesical pressure, first sensation of bladder filling, first desire to void, and strong desire to void (p > 0.05). Maximum bladder capacity in the intrafascial technique was significantly higher than in the extrafascial technique (p < 0.05). Conclusion: No significant relationship was found between the two groups with respect to increase of stress or urge urinary incontinence symptoms and subsequent incontinence after hysterectomy. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
