{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:38:24Z","timestamp":1787164704749,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Simple hysterectomy is one of the most common gynaecological surgical procedures worldwide; however, its association as a possible aetiological factor for urinary dysfunction remains controversial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the clinical impact of different types of non\u2010radical hysterectomy on lower urinary tract symptoms (LUTS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Search Strategy<\/jats:title>\n                    <jats:p>A structured search was conducted across scientific sources through December 1989 to March 2025, using terms including: \u2018urodynamics\u2019, \u2018urinary incontinence\u2019, \u2018stress incontinence\u2019, \u2018urge incontinence\u2019, \u2018urinary urgency\u2019, \u2018urinary frequency\u2019, \u2018urinary nocturia\u2019 and \u2018urinary retention\u2019, \u2018lower urinary tract symptoms\u2019, \u2018hysterectomy\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Selection Criteria<\/jats:title>\n                    <jats:p>Randomised controlled trials and prospective observational studies assessing patients undergoing simple hysterectomy with pre\u2010 and post\u2010operative evaluation by validated questionnaires. Exclusion criteria included case reports, reviews, editorials, short communications, radical hysterectomy, post\u2010operative assessment only, non\u2010English publications and studies on pelvic organ prolapse surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection and Analysis<\/jats:title>\n                    <jats:p>Ten studies, encompassing 1769 patients, were included in the analysis. Five outcomes were selected: changes in urinary frequency; occurrence of stress urinary incontinence; occurrence of urge urinary incontinence; changes in nocturia; changes in incomplete bladder emptying.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Results<\/jats:title>\n                    <jats:p>\n                      Changes from baseline to last follow\u2010up available in urinary frequency (OR 0.48, 95% CI 0.36\u20130.66;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.00001); stress urinary incontinence (OR\u2009=\u20090.54, 95% CI 0.44\u20130.68;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.00001); urge urinary incontinence (OR\u2009=\u20090.76, 95% CI 0.72\u20130.94;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01); nocturia (OR 0.55, 95% CI 0.36\u20130.84;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005); incomplete bladder (OR\u2009=\u20090.95, 95% CI 0.66\u20131.36;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.77).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The present meta\u2010analysis suggests that simple hysterectomy is associated with a reduction in the prevalence of urinary symptoms postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>PROSPERO: CRD42024575574<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.70056","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T08:10:01Z","timestamp":1760688601000},"page":"391-400","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Impact of Non\u2010Radical Hysterectomy on Urinary Functions: Evaluation of Symptoms\u2014A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8808-9183","authenticated-orcid":false,"given":"Roberta Maria","family":"Arseni","sequence":"first","affiliation":[{"name":"Department of Maternal and Child Health and Urological Sciences Sapienza University of Rome, Policlinico Umberto I  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9930-2810","authenticated-orcid":false,"given":"Emanuele","family":"De Angelis","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health and Urological Sciences Sapienza University of Rome, Policlinico Umberto I  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Cuccu","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health and Urological Sciences Sapienza University of Rome, Policlinico Umberto I  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Giannini","sequence":"additional","affiliation":[{"name":"Unit of Gynecology, Department of Surgical and Medical Sciences and Translational Medicine Sant'Andrea Hospital, Sapienza University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Bogani","sequence":"additional","affiliation":[{"name":"Gynecological Oncology Unit Fondazione IRCCS Istituto Nazionale dei Tumori  Milan 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of Clinical and Experimental Medicine University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Vizzielli","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Santa Maria della Misericordia University Hospital Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Restaino","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Santa Maria della Misericordia University Hospital Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9519-1097","authenticated-orcid":false,"given":"Jvan","family":"Casarin","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Department University of Insubria  Varese 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