Hansen B M, Bonnesen T, Hvidberg J E, Eliasen B, Nielsen K, Frimodt-Møller C
Urol Int. 1985;40(4):224-6. doi: 10.1159/000281085.
35 women, referred for simple total hysterectomy, were evaluated pre- and postoperatively for bladder suspension and urodynamic changes. Although all patients denied urological problems, more than half of the patients had some degree of stress and/or urge incontinence. 40% had radiological signs of bladder suspension defects. At postoperative examination the symptomatology of incontinence had declined but the radiological pathologic findings had increased. On this basis it may be concluded that it is unpredictable what happens to the bladder and its suspension following simple hysterectomy.
35名因单纯全子宫切除术前来就诊的女性在术前和术后接受了膀胱悬吊及尿动力学变化评估。尽管所有患者均否认存在泌尿系统问题,但超过半数的患者有一定程度的压力性和/或急迫性尿失禁。40%的患者有膀胱悬吊缺陷的影像学表现。术后检查发现,失禁症状有所减轻,但影像学病理表现却有所增加。基于此,可以得出结论,单纯子宫切除术后膀胱及其悬吊结构会发生什么变化是不可预测的。