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01-08-2005 | Original Article

Lower urinary tract symptoms after total and subtotal hysterectomy: results of a randomized controlled trial

Authors: Helga Gimbel, Vibeke Zobbe, Birthe Margrethe Andersen, Thomas Filtenborg, Kristian Jakobsen, Helle Christina Sørensen, Kim Toftager-Larsen, Katrine Sidenius, Nini Møller, Ellen Merete Madsen, Mogens Vejtorp, Helle Clausen, Annie Rosgaard, John Villumsen, Christian Gluud, Bent S. Ottesen, Ann Tabor

Published in: International Urogynecology Journal | Issue 4/2005

Abstract

The aim of this Danish multicenter trial was to compare the proportion of women with lower urinary tract symptoms after total abdominal hysterectomy (TAH) and subtotal abdominal hysterectomy (SAH) for benign uterine disorders. A total of 319 women were randomized to TAH (n=158) or SAH (n=161). Women were followed up for 1 year by strict data collection procedures, including postal questionnaires. Results were analyzed by intention-to-treat analyses. Urinary incontinence was found less often among TAH women than among SAH women. This was due to a larger reduction of the number of women with stress and urinary incontinence in the TAH group. No other differences were found between the two operation methods. The number of women with urinary incontinence and frequency was reduced from study entry for follow-up, while double/triple voiding was increased. Incontinent women had significantly lower quality of life scores than continent women.

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Title: Lower urinary tract symptoms after total and subtotal hysterectomy: results of a randomized controlled trial
Authors: Helga Gimbel
Vibeke Zobbe
Birthe Margrethe Andersen
Thomas Filtenborg
Kristian Jakobsen
Helle Christina Sørensen
Kim Toftager-Larsen
Katrine Sidenius
Nini Møller
Ellen Merete Madsen
Mogens Vejtorp
Helle Clausen
Annie Rosgaard
John Villumsen
Christian Gluud
Bent S. Ottesen
Ann Tabor
Publication date: 01-08-2005
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 4/2005
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-005-1291-8

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Lower urinary tract symptoms after total and subtotal hysterectomy: results of a randomized controlled trial

Abstract

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