Hysterectomy Is Associated with Stress Incontinence in Women Who Previously Had a Transcervical Endometrial Resection

What is it about?

To compare the prevalence of urological symptoms in a population of women, who had a TCER only, and a population of women, who had a TCER and a subsequent hysterectomy. The superior goal was to evaluate the possible association between hysterectomy and urinary incontinence.

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Why is it important?

Hysterectomy is related to urinary incontinence in several studies. However, newer reports fail to show any association, and some authors report data that are directly conflicting with a theory of simple surgical lesion to the bladder or bladder neural structures as the cause of urinary incontinence. Gimbel et al. showed in a randomized study that women with previous supracervical hysterectomy had a significantly higher prevalence of urinary incontinence than women with previous total hysterectomy. In a non-randomized study, Neumann et al. showed a similar correlation between supracervical hysterectomy and late postoperative urological symptoms. A possible explanation of the conflicting data may be that hysterectomy is not necessarily the cause of urinary incontinence, but that conditions leading to hysterectomy share some common factors with conditions leading to urinary incontinence. The present study was designed to investigate the possible association between hysterectomy and urinary incontinence after TCER indicated by meno-metrorrhagia