Effect of total abdominal hysterectomy on pelvic floor function

Mohamed Abdel-Fattah, J Barrington, M Yousef, Alyaa Mostafa

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Historically, hysterectomy is one of the oldest gynecologic operations, dating back to the 1840s. Currently, it is the most common gynecologic operation performed and is associated with marked improvement in the patients' quality of life. It is widely considered a safe procedure with an extremely low mortality rate (<0.1%). The majority of hysterectomies are done abdominally, with the vast majority being total abdominal hysterectomies. The effect of hysterectomy on pelvic floor function has been a subject of long debate. Various studies have reached different and rather contradictory results. Most of these studies lack stringent methodologic standards, being retrospective, observational, or uncontrolled. A recent excellent study assessed the effect of abdominal hysterectomy on pelvic floor function as I functional unit and concluded that both total and subtotal abdominal hysterectomies have no detrimental effect on the pelvic floor function up to 1 year postoperatively.
Target Audience: Obstetricians & Gynecologists, Family Physicians
Learning objectives: After completion of this article, the reader should be able to outline the potential long-term complications of hysterectomy, to describe the autonomic innervation of the pelvic organs, and to summarize the various studies evaluating long-term complications of hysterectomy.
Original languageEnglish
Pages (from-to)299-304
Number of pages6
JournalObstetrical & Gynecological Survey
Volume59
Issue number4
DOIs
Publication statusPublished - 1 Apr 2004

Fingerprint

Pelvic Floor
Hysterectomy
Quality of Life
Mortality

Keywords

  • autonomic nervous system
  • constipation
  • defecation
  • female
  • humans
  • hysterectomy
  • large intestine
  • pelvic floor
  • quality of life
  • urethra
  • urinary bladder
  • urination disorders
  • urodynamics

Cite this

Effect of total abdominal hysterectomy on pelvic floor function. / Abdel-Fattah, Mohamed; Barrington, J; Yousef, M; Mostafa, Alyaa.

In: Obstetrical & Gynecological Survey, Vol. 59, No. 4, 01.04.2004, p. 299-304.

Research output: Contribution to journalArticle

@article{87645d5a3cd3489196a06a21b960bf14,
title = "Effect of total abdominal hysterectomy on pelvic floor function",
abstract = "Historically, hysterectomy is one of the oldest gynecologic operations, dating back to the 1840s. Currently, it is the most common gynecologic operation performed and is associated with marked improvement in the patients' quality of life. It is widely considered a safe procedure with an extremely low mortality rate (<0.1{\%}). The majority of hysterectomies are done abdominally, with the vast majority being total abdominal hysterectomies. The effect of hysterectomy on pelvic floor function has been a subject of long debate. Various studies have reached different and rather contradictory results. Most of these studies lack stringent methodologic standards, being retrospective, observational, or uncontrolled. A recent excellent study assessed the effect of abdominal hysterectomy on pelvic floor function as I functional unit and concluded that both total and subtotal abdominal hysterectomies have no detrimental effect on the pelvic floor function up to 1 year postoperatively. Target Audience: Obstetricians & Gynecologists, Family Physicians Learning objectives: After completion of this article, the reader should be able to outline the potential long-term complications of hysterectomy, to describe the autonomic innervation of the pelvic organs, and to summarize the various studies evaluating long-term complications of hysterectomy.",
keywords = "autonomic nervous system, constipation, defecation, female, humans, hysterectomy, large intestine, pelvic floor, quality of life, urethra, urinary bladder, urination disorders, urodynamics",
author = "Mohamed Abdel-Fattah and J Barrington and M Yousef and Alyaa Mostafa",
year = "2004",
month = "4",
day = "1",
doi = "10.1097/01.OGX.0000120166.84206.DD",
language = "English",
volume = "59",
pages = "299--304",
journal = "Obstetrical & Gynecological Survey",
issn = "0029-7828",
publisher = "Lippincott Williams & Wilkins",
number = "4",

}

TY - JOUR

T1 - Effect of total abdominal hysterectomy on pelvic floor function

AU - Abdel-Fattah, Mohamed

AU - Barrington, J

AU - Yousef, M

AU - Mostafa, Alyaa

PY - 2004/4/1

Y1 - 2004/4/1

N2 - Historically, hysterectomy is one of the oldest gynecologic operations, dating back to the 1840s. Currently, it is the most common gynecologic operation performed and is associated with marked improvement in the patients' quality of life. It is widely considered a safe procedure with an extremely low mortality rate (<0.1%). The majority of hysterectomies are done abdominally, with the vast majority being total abdominal hysterectomies. The effect of hysterectomy on pelvic floor function has been a subject of long debate. Various studies have reached different and rather contradictory results. Most of these studies lack stringent methodologic standards, being retrospective, observational, or uncontrolled. A recent excellent study assessed the effect of abdominal hysterectomy on pelvic floor function as I functional unit and concluded that both total and subtotal abdominal hysterectomies have no detrimental effect on the pelvic floor function up to 1 year postoperatively. Target Audience: Obstetricians & Gynecologists, Family Physicians Learning objectives: After completion of this article, the reader should be able to outline the potential long-term complications of hysterectomy, to describe the autonomic innervation of the pelvic organs, and to summarize the various studies evaluating long-term complications of hysterectomy.

AB - Historically, hysterectomy is one of the oldest gynecologic operations, dating back to the 1840s. Currently, it is the most common gynecologic operation performed and is associated with marked improvement in the patients' quality of life. It is widely considered a safe procedure with an extremely low mortality rate (<0.1%). The majority of hysterectomies are done abdominally, with the vast majority being total abdominal hysterectomies. The effect of hysterectomy on pelvic floor function has been a subject of long debate. Various studies have reached different and rather contradictory results. Most of these studies lack stringent methodologic standards, being retrospective, observational, or uncontrolled. A recent excellent study assessed the effect of abdominal hysterectomy on pelvic floor function as I functional unit and concluded that both total and subtotal abdominal hysterectomies have no detrimental effect on the pelvic floor function up to 1 year postoperatively. Target Audience: Obstetricians & Gynecologists, Family Physicians Learning objectives: After completion of this article, the reader should be able to outline the potential long-term complications of hysterectomy, to describe the autonomic innervation of the pelvic organs, and to summarize the various studies evaluating long-term complications of hysterectomy.

KW - autonomic nervous system

KW - constipation

KW - defecation

KW - female

KW - humans

KW - hysterectomy

KW - large intestine

KW - pelvic floor

KW - quality of life

KW - urethra

KW - urinary bladder

KW - urination disorders

KW - urodynamics

U2 - 10.1097/01.OGX.0000120166.84206.DD

DO - 10.1097/01.OGX.0000120166.84206.DD

M3 - Article

C2 - 15024230

VL - 59

SP - 299

EP - 304

JO - Obstetrical & Gynecological Survey

JF - Obstetrical & Gynecological Survey

SN - 0029-7828

IS - 4

ER -