The hysterectomy operations for benign gynecological disease are the most common major operations in gynaecology. Urological dysfunction and stress incontinence after hysterectomy have been issues of a number of controversial discussions and publications. These sources lack comparative studies, distinguishing various surgical techniques, diagnostic methods and follow up periods. Further more, almost all of the hysterectomized patients are in their perimenopausal periods, augmenting the symptoms and making the assessment more difficult.
The stress urinary incontinence with symptoms of urine leakage related to an increase in abdominal pressure can be explained by poor pressure transmission to the urethra due to hyper mobility of the bladder neck or in an insufficient closure function of the urethra itself.
However, studied comparing preoperative urodynamic finding and post operative finding are very few, since many urologist and gynaecologists have investigated the effect of different mode of hysterectomy on urinary bladder and urethral functions. There is no study showing severe negative effect of these operations on urethra and urinary dysfunction
This study done to examine whether hysterectomy with its different mode is an independent risk factor for stress urinary incontinence particularly and other LUTS.
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