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Self-reported bladder function five years post-hysterectomy
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McPherson, K., Herbert, A., Judge, A., Clarke, Aileen, Bridgman, S., Maresh, M. and Overton, C. (2009) Self-reported bladder function five years post-hysterectomy. Journal of Obstetrics & Gynaecology, 25 (5). pp. 469-475. doi:10.1080/01443610500235170 ISSN 0144-3615.
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Official URL: http://dx.doi.org/10.1080/01443610500235170
Abstract
We have examined the contribution of hysterectomy, compared with less invasive surgery, for dysfunctional uterine bleeding (DUB) on the prevalence of bladder problems five years after surgery. We report a prospective cohort study of over 25,000 women treated for benign cause menorrhagia by three types of surgery – transcervical endometrial resection/ablation and hysterectomy with or without bilateral oophorectomy. Postal questionnaires were sent five years after surgery investigating satisfaction with surgery and bladder function. When adjusted for confounders the odds of severe urinary incontinence (OR = 1.59, CI 95%, 1.35 – 1.87), urinary frequency (1.23 (1.04 – 1.45)), and nocturia (1.19, (1.03 – 1.38)) – were increased for women who had a hysterectomy compared with endometrial ablation. Hysterectomy with bilateral oophorectomy was not as strongly associated with severe bladder problems. Women who had the LAVH were most likely to report severe urinary incontinence (2.02, CI 95% 1.32 – 3.07), but not severe frequency or nocturia.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Journal of Obstetrics & Gynaecology | ||||
| Publisher: | Informa Healthcare | ||||
| ISSN: | 0144-3615 | ||||
| Official Date: | 2 June 2009 | ||||
| Dates: |
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| Volume: | 25 | ||||
| Number: | 5 | ||||
| Page Range: | pp. 469-475 | ||||
| DOI: | 10.1080/01443610500235170 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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