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Urinary Dysfunction after Hysterectomy: Incidence, Risk Factors and Management

  • Reconstructed Bladder Function & Dysfunction (M Kaufman, Section Editor)
  • Published:
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Abstract

Purpose of Review

Hysterectomy is one of the most commonly performed surgical procedures for women. The impact of uterine removal on bladder function can negatively impact a patient’s quality of life. When contemplating route of hysterectomy, surgeons weigh risks and benefits of all potential adverse outcomes, including urinary tract considerations. This review will guide providers based on the effect of hysterectomy on urinary function, as well as summarize risk factors and postsurgical treatment recommendations should urinary dysfunction occur.

Recent Findings

Prediction of urinary dysfunction after hysterectomy is variable for most routes, however there is strong evidence that nerve-sparing radical hysterectomy decreases postoperative urinary incontinence and retention.

Summary

While all women are at risk for urinary dysfunction, those with preoperative incontinence and retention, neurologic conditions, and women undergoing uterine removal for cervical cancer or prolapse demonstrate a higher incidence of urinary symptoms. Until more evidence is available regarding predictive factors for urinary dysfunction in benign hysterectomies, comprehensive preoperative counseling and postoperative reassurance will lessen the deleterious effects on patient’s quality of life.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Baylor Scott and White Medical Center, Temple, 2401 S 31st St, Temple, TX, 76508, USA

    Jill M. Danford & Emily Wu

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  1. Jill M. Danford
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  2. Emily Wu
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Correspondence to Jill M. Danford.

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This article is part of the Topical Collection on Reconstructed Bladder Function & Dysfunction

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Danford, J.M., Wu, E. Urinary Dysfunction after Hysterectomy: Incidence, Risk Factors and Management. Curr Bladder Dysfunct Rep 12, 298–304 (2017). https://doi.org/10.1007/s11884-017-0442-3

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