Role of Hysterectomy in the Treatment of Incontinence

Gynecologists frequently perform hysterectomies at the time of retropubic or vaginal surgery for stress incontinence although few data support this practice. Langer et al.13 assessed the effect of concomitant hysterectomy during Burch colposuspension on the cure rate of stress incontinence. Forty-five patients were randomly assigned to receive colposuspension only or colposuspension plus abdominal hysterectomy and cul-de-sac obliteration. Using urodynamic investigations 6 months after surgery, the rate of cure for stress incontinence between the two groups did not differ statistically (95.5% and 95.7% for the no-hysterectomy and hysterectomy groups, respectively). This study clearly showed that hysterectomy adds little to the efficacy of Burch colposuspension in curing stress incontinence. In general, we perform hysterectomies only for specific uterine pathology or for the treatment of uterovaginal prolapse.

Biofeedback Mastery

Biofeedback Mastery

Have you ever wondered what Biofeedback is all about? Uncover these unique information on Biofeedback! Are you in constant pain? Do you wish you could ever just find some relief? If so, you are not alone. Relieving chronic pain can be difficult and frustrating.

Get My Free Ebook

Post a comment