ArticleDiseases of the colon and rectum2017
Effects of Hysterectomy on Pelvic Floor Disorders: A Longitudinal Study.
Article in Diseases of the colon and rectum, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022Pooled it
- Urinary incontinence following subtotal and total hysterectomy: a systematic review.Einstein (Sao Paulo, Brazil) · 2019Pooled it
- Modified first-level reconstruction and reinforcement during laparoscopic total hysterectomy for prevention of post-operative pelvic organ prolapse: a randomized clinical trial.African health sciences · 2024Trial
- Uterus-preserving surgical management of placenta accreta spectrum disorder: a large retrospective study.BMC pregnancy and childbirth · 2023Trial
- Minimally invasive resection rectopexy as a treatment method for obstructive defecation (ODS): functional outcome in ODS; constipation and fecal incontinence.BMC surgery · 2026Article
- Techniques in coloproctology - controversies in coloproctology resection: rectopexy is an underutilised procedure in the management of both symptomatic high-grade internal and external rectal prolapse.Techniques in coloproctology · 2025Article
- Pre- vs Post-Operative Levator Ani Subtended Volume in Patients Undergoing Hysterectomy: A Comparative Imaging Study.International urogynecology journal · 2024Article
- A comparison of patient-reported outcomes among Canadian women having hysterectomies.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Impact of treatment modality on pelvic floor dysfunction among uterine cancer survivors.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2022Article
- Post-surgical fecal incontinence.Updates in surgery · 2018Article
- Effects of abdominal and vaginal hysterectomy on anorectal functions along with quality of life of the patient.African health sciences · 2018Article
- Hysterectomy: More Harm Than Good or Innocent Bystander?Diseases of the colon and rectum · 2017Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHysterectomy might adversely affect pelvic floor functions and result in many different symptoms, such as urinary and anal incontinence, obstructed defecation, and constipation.
objectiveThe aim of this prospective study was to evaluate the influence of hysterectomy on pelvic floor disorders.
designThis was a prospective and longitudinal study. SETTINGS: The study was conducted at the Ankara University Department of Surgery and the Dr Zekai Tahir Burak Women's Health Research and Education Hospital between September 2008 and March 2011. PATIENTS: The study was performed on patients who underwent hysterectomy for benign pathologies.
main outcome measuresA questionnaire about urinary incontinence (International Continence Society scoring), anal incontinence, constipation, and obstructed defecation (Rome criteria and constipation severity score), along with an extensive obstetric history, was administered preoperatively and postoperatively annually for 4 years.
resultsPatients (N = 327) who had completed each of the 4 annual postoperative follow-ups were included in this study. Compared with the preoperative observations, the occurrence of each symptom was significantly increased at each of the follow-up years (p < 0.001). Over the 4 postoperative years, the frequencies for constipation (n = 245) were 7.8%, 8.2%, 8.6%, and 5.3%; those for obstructed defecation (n = 269) were 4.5%, 5.2%, 4.1%, and 3.0%; those for anal incontinence (n = 252) were 4.8%, 6.3%, 6.0%, and 5.2%, and those for urinary incontinence (n = 99) were 12.1%, 12.1%, 11.1%, and 13.1%. In addition, patients who had no preoperative symptom (n = 70) from any of the selected symptoms showed a postoperative occurrence of at least 1 of these symptoms of 15.8%, 14.3%, 11.4%, and 8.6% for the postoperative years 1, 2, 3, and 4. LIMITATIONS: Although the study had several limitations, no comparison with a control population was the most important one.
conclusionsHysterectomy for benign gynecologic pathologies had a significant negative impact on pelvic floor functions in patients who had no previous symptoms.
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