Functioning of the Lower Urinary Tract after Abdominal Hysterectomy

Mahdi Shalal, Maad

	Functioning of the Lower Urinary Tract after Abdominal Hysterectomy
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 25, Issue 3, 2012, Pages 244-247
Author
Maad Mahdi Shalal
Abstract
Abstract Objective: To assess the objective influence of abdominal hysterectomy on the functioning of the bladder and urethra 3 months after the surgery. Study design: Cross section study Setting: Department of obstetric and gynaecology / Baghdad Teaching Hospital, Medical City. Ghazy – Al-Hareery Hospital. Time of study: November 2009 to November 2010. Materials and methods: Urodynamic examination was performed in 25 women before and three months after total abdominal hysterectomy for benign disease .None of the patients had neurological, psychiatric diseases, diabetes, recurrent or present UTI and stress urinary incontinence. Urinalysis and urine culture were done in all patients before and 3months after the operation. Urodynamic study done for the patients which includes. Uroflowmetry, cytometry & urethral pressure recordings. Results: 25 patients examined before and three months after surgery. There were (2,4,2,3 and 1) patients complaining of increased day time frequency , dysuria , nocturea, urgency and feeling of incomplete emptying consequently and after surgery it changed to (0,0,2,3 and 0) in the same consequences. The mean of the maximum cystometric capacity, the mean of the average flow rate and the mean of the voiding time were (355.6 ml, 10.9ml/s and 28.82s) consequently .It changed post operatively to (678.75ml, 9.8ml/s, and 38.82s) in the same consequences. Conclusion: We observed, increased maximum bladder capacity, increased voiding time, decreased average urethral flow rate. The assessment of the lower urinary tract symptoms revealed improvement in frequency, dysuria and feeling of incomplete emptying.

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