Urodynamic changes following laparoscopic versus vaginal hysterectomy
Objective: To compare urodynamic changes before and after hysterectomy (laparoscopic vs. vaginal approach) for benign gynecological diseases. Patients and methods: A total of 90 women with a mean age of 56.36-years were enrolled in this study between August 2019 and April 2021. They were divided in...
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PAGEPress Publications
2022-09-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/10728 |
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| author | Tamer Abouelgreed Doaa Saleh Mohamed Abdelaal Adel Elatreisy Mohamed Elhelaly El-Sayed El-Agamy Ahmed Elgammal Ashraf Moawad |
| author_facet | Tamer Abouelgreed Doaa Saleh Mohamed Abdelaal Adel Elatreisy Mohamed Elhelaly El-Sayed El-Agamy Ahmed Elgammal Ashraf Moawad |
| author_sort | Tamer Abouelgreed |
| collection | DOAJ |
| description |
Objective: To compare urodynamic changes before and after hysterectomy (laparoscopic vs. vaginal approach) for benign gynecological diseases.
Patients and methods: A total of 90 women with a mean age of 56.36-years were enrolled in this study between August 2019 and April 2021. They were divided into two equal groups
(45 patients each). Group, I had a vaginal hysterectomy, and Group II had a laparoscopic hysterectomy. All patients were assessed clinically using ICIQ-FLUTS questionnaire and a uro-dynamic study before and six months after surgery.
Results: Both vaginal and laparoscopic hysterectomy did not significantly change the maximum flow rate, voiding time, and average flow rate. The increase in residual urine volume in group I was not significant (p = 0.129), as was in Group II
(p = 0.217). All the modifications, however, were within permis-sible limits. According to the cystometry result, volume at initial sensation rose in both groups after surgery, with no statistically significant difference (p = 0.364). After both forms of hysterecto-my, maximum bladder capacity did not vary considerably. Preoperatively, all study participants exhibited no overactivity of the detrusor muscle; nevertheless, following surgery, overac-tivity was noted in 9 patients after vaginal hysterectomy com-pared to three patients after laparoscopic hysterectomy, and all the alterations were within a clinically acceptable range. In addition, the ICIQ-FLUTS score was not significantly different between the study groups.
Conclusions: According to the urodynamic study, hysterectomy for benign uterine conditions, whether vaginal or laparoscopic did not adversely affect urinary bladder function.
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| first_indexed | 2024-04-12T03:06:27Z |
| format | Article |
| id | doaj.art-97cc4be836e34be79f3f15d53ff1f201 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-04-12T03:06:27Z |
| publishDate | 2022-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-97cc4be836e34be79f3f15d53ff1f2012022-12-22T03:50:29ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972022-09-0194310.4081/aiua.2022.3.315Urodynamic changes following laparoscopic versus vaginal hysterectomyTamer Abouelgreed0Doaa Saleh1Mohamed Abdelaal2Adel Elatreisy3Mohamed Elhelaly4El-Sayed El-Agamy5Ahmed Elgammal6Ashraf Moawad7Department of Urology, Al-Azhar University, Cairo, Egypt; Al Zahra Private Hospital, NMC Medical groupDepartment of Obstetrics & gynaecology, Al-Azhar University, CairoDepartment of Urology, Al-Azhar University, CairoDepartment of Urology, Al-Azhar University, CairoDepartment of Urology, Al-Azhar University, CairoDepartment of Urology, Al-Azhar University, CairoDepartment of Urology, Al-Azhar University, CairoAl Zahra Private Hospital, NMC Medical group, UAE; Department of Obstetrics & gynaecology, Al-Azhar University, Cairo Objective: To compare urodynamic changes before and after hysterectomy (laparoscopic vs. vaginal approach) for benign gynecological diseases. Patients and methods: A total of 90 women with a mean age of 56.36-years were enrolled in this study between August 2019 and April 2021. They were divided into two equal groups (45 patients each). Group, I had a vaginal hysterectomy, and Group II had a laparoscopic hysterectomy. All patients were assessed clinically using ICIQ-FLUTS questionnaire and a uro-dynamic study before and six months after surgery. Results: Both vaginal and laparoscopic hysterectomy did not significantly change the maximum flow rate, voiding time, and average flow rate. The increase in residual urine volume in group I was not significant (p = 0.129), as was in Group II (p = 0.217). All the modifications, however, were within permis-sible limits. According to the cystometry result, volume at initial sensation rose in both groups after surgery, with no statistically significant difference (p = 0.364). After both forms of hysterecto-my, maximum bladder capacity did not vary considerably. Preoperatively, all study participants exhibited no overactivity of the detrusor muscle; nevertheless, following surgery, overac-tivity was noted in 9 patients after vaginal hysterectomy com-pared to three patients after laparoscopic hysterectomy, and all the alterations were within a clinically acceptable range. In addition, the ICIQ-FLUTS score was not significantly different between the study groups. Conclusions: According to the urodynamic study, hysterectomy for benign uterine conditions, whether vaginal or laparoscopic did not adversely affect urinary bladder function. https://www.pagepressjournals.org/index.php/aiua/article/view/10728Hysterectomy; Uroflowmetry; Urodynamic. |
| spellingShingle | Tamer Abouelgreed Doaa Saleh Mohamed Abdelaal Adel Elatreisy Mohamed Elhelaly El-Sayed El-Agamy Ahmed Elgammal Ashraf Moawad Urodynamic changes following laparoscopic versus vaginal hysterectomy Archivio Italiano di Urologia e Andrologia Hysterectomy; Uroflowmetry; Urodynamic. |
| title | Urodynamic changes following laparoscopic versus vaginal hysterectomy |
| title_full | Urodynamic changes following laparoscopic versus vaginal hysterectomy |
| title_fullStr | Urodynamic changes following laparoscopic versus vaginal hysterectomy |
| title_full_unstemmed | Urodynamic changes following laparoscopic versus vaginal hysterectomy |
| title_short | Urodynamic changes following laparoscopic versus vaginal hysterectomy |
| title_sort | urodynamic changes following laparoscopic versus vaginal hysterectomy |
| topic | Hysterectomy; Uroflowmetry; Urodynamic. |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/10728 |
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