Urogynaecological dysfunction after radical hysterectomy

AimsTo identify self-reported urogynaecological dysfunctions in women treated by radical hysterectomy, and predict risk factors.MethodsA survey using questionnaires. Questionnaires were mailed to 396 patients.ResultsSymptoms 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 ≥4000 g, sensation of vaginal dryness, and pre-operative urinary retention symptoms. Considering post-operative cystitis and/or dysuria, fetal weight ≥4000 g, sensation of vaginal dryness, cystitis and/or dysuria before the operation, and physical activity were predictive variables.ConclusionsPatients 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.