Susanne Maigaard Axelsen

Urogynaecological dysfunction after radical hysterectomy

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

  • S M Axelsen, Department of Gynaecology and Obstetrics, Skejby Hospital, Aarhus University Hospital, Brendstrupgaardsvej, DK-8200 Aarhus N, Denmark. susanne.axelsen@dadlnet.dk, Danmark
  • L K Petersen
  • Susanne Maigaard Axelsen

AIMS: To identify self-reported urogynaecological dysfunctions in women treated by radical hysterectomy, and predict risk factors.

METHODS: A survey using questionnaires. Questionnaires were mailed to 396 patients.

RESULTS: Symptoms of urinary incontinence and urinary retention were reported by more than one-third, respectively. One-third of the patients reported cystitis and dysuria. However, 78% of the women did not consider their symptoms as a problem. Analyses identified body mass index, at least one delivery, pre-operative urinary incontinence, and pulmonary disease as predictors for development of post-operative urinary incontinence. Predictive variables for urinary retention symptoms were age, cystitis and/or dysuria, previous rupture of the anal sphincter, fetal weight at delivery > or =4000 g, sensation of vaginal dryness, and pre-operative urinary retention symptoms. Considering post-operative cystitis and/or dysuria, fetal weight > or =4000 g, sensation of vaginal dryness, cystitis and/or dysuria before the operation, and physical activity were predictive variables.

CONCLUSIONS: Patients can be informed and advised about possible urinary tract symptoms. Special attention in the pre- and post-operative period can be paid to a subgroup of patients at high risk of later urogynaecological problems.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Surgical Oncology
Vol/bind32
Nummer4
Sider (fra-til)445-9
Antal sider5
ISSN0748-7983
DOI
StatusUdgivet - 2006

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