{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T05:23:58Z","timestamp":1776489838760,"version":"3.51.2"},"reference-count":16,"publisher":"PAGEPress Publications","issue":"3","license":[{"start":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T00:00:00Z","timestamp":1664150400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Ital Urol Androl"],"abstract":"<jats:p>Objective: To compare urodynamic changes before and after hysterectomy (laparoscopic vs. vaginal approach) for benign gynecological diseases.Patients and methods: A total of 90 women with a mean age of 56.36-years were enrolled in this study between August 2019 and April 2021. They were divided into two equal groups(45 patients each). Group, I had a vaginal hysterectomy, and Group II had a laparoscopic hysterectomy. All patients were assessed clinically using ICIQ-FLUTS questionnaire and a uro-dynamic study before and six months after surgery. Results: Both vaginal and laparoscopic hysterectomy did not signi\ufb01cantly change the maximum \ufb02ow rate, voiding time, and average \ufb02ow rate. The increase in residual urine volume in group I was not signi\ufb01cant (p = 0.129), as was in Group II(p = 0.217). All the modi\ufb01cations, however, were within permis-sible limits. According to the cystometry result, volume at initial sensation rose in both groups after surgery, with no statistically signi\ufb01cant difference (p = 0.364). After both forms of hysterecto-my, maximum bladder capacity did not vary considerably. Preoperatively, all study participants exhibited no overactivity of the detrusor muscle; nevertheless, following surgery, overac-tivity was noted in 9 patients after vaginal hysterectomy com-pared to three patients after laparoscopic hysterectomy, and all the alterations were within a clinically acceptable range. In addition, the ICIQ-FLUTS score was not signi\ufb01cantly different between the study groups. Conclusions: According to the urodynamic study, hysterectomy for benign uterine conditions, whether vaginal or laparoscopic did not adversely affect urinary bladder function.<\/jats:p>","DOI":"10.4081\/aiua.2022.3.315","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T14:32:53Z","timestamp":1664202773000},"page":"315-318","source":"Crossref","is-referenced-by-count":3,"title":["Urodynamic changes following laparoscopic versus vaginal hysterectomy"],"prefix":"10.4081","volume":"94","author":[{"given":"Tamer","family":"Abouelgreed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doaa","family":"Saleh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Abdelaal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adel","family":"Elatreisy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Elhelaly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"El-Sayed","family":"El-Agamy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Elgammal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashraf","family":"Moawad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2022,9,26]]},"reference":[{"key":"59505","doi-asserted-by":"crossref","unstructured":"Dobbas SP, Jackson SR, Wilison AM, et al. A prospective random-ized trial comparing continuous bladder drainage with catheteriza-tion at abdominal hysterectomy, Br J Urol. 1997; 80:554.","DOI":"10.1046\/j.1464-410X.1997.t01-1-00376.x"},{"key":"59506","doi-asserted-by":"crossref","unstructured":"Wright ID, Herzog TJ, Ananth CV, et al. Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynaecol. 2013; 122:233.","DOI":"10.1097\/AOG.0b013e318299a6cf"},{"key":"59507","doi-asserted-by":"crossref","unstructured":"Sculpher M, Manca A, Abbott J, et al. Cost effectiveness analysis of laparoscopic hysterectomy compared with standard hysterectomy, results from a randomized trial. BMJ. 2004; 328:134.","DOI":"10.1136\/bmj.37942.601331.EE"},{"key":"59508","doi-asserted-by":"crossref","unstructured":"Lonnerfors C, Reynisson P, Persson I. A randomized trial com-paring vaginal and laparoscopic hysterectomy vs robot assisted hys-terectomy. J Mini Invasive Gynaecol. 2015; 22:78.","DOI":"10.1016\/j.jmig.2014.07.010"},{"key":"59509","doi-asserted-by":"crossref","unstructured":"Thakar R. Dispelling the myth \u2013does hysterectomy cause pelvic organ dysfunction? BJOG 2004; 111 (Suppl 1):20-3.","DOI":"10.1111\/j.1471-0528.2004.00461.x"},{"key":"59510","doi-asserted-by":"crossref","unstructured":"Bohlin K, Ankardal M, Lindkvist H, Milsom I. Factors in\ufb02uencing the incidence and remission of urinary incontinence after hysterecto-my. Am J Obstet Gynecol. 2017; 216:53. e1.","DOI":"10.1016\/j.ajog.2016.08.034"},{"key":"59511","doi-asserted-by":"crossref","unstructured":"Chen J, Chen C, Li Y, et al. Impact of radical hysterectomy on the trans obturator sling pathway: A retrospective three-dimensional magnetic resonance imaging study. Int Urogynecol J. 2017; 2:1359.","DOI":"10.1007\/s00192-017-3533-y"},{"key":"59512","doi-asserted-by":"crossref","unstructured":"Kupec T, Pecks U, Graf C, et al. Size does not make the difference: 3D\/4D Trans perineal sonographic measurement of the female ure-thra in the assessment of urinary incontinence subtypes. Bio Med Res Int. 2016:1-6.","DOI":"10.1155\/2016\/1810352"},{"key":"59513","doi-asserted-by":"crossref","unstructured":"Jackson S, Donovan J, Brookes S, et al. The Bristol Female Lower Urinary Tract Symptoms questionnaire: development and psychome-tric testing. Br J Urol. 1996; 77:805.","DOI":"10.1046\/j.1464-410X.1996.00186.x"},{"key":"59514","doi-asserted-by":"crossref","unstructured":"Ramdhan RC, Loukas M, Tubbs RS. Anatomical complications of hysterectomy: A review. Clin Anat. 2017; 30:946.","DOI":"10.1002\/ca.22962"},{"key":"59515","doi-asserted-by":"crossref","unstructured":"Skorupska K, Miot\u0142a P, Kubik-Komar A, et al. Urinary inconti-nence after hysterectomy- does type of surgery matter? Ginekol. Polska. 2016; 87:94.","DOI":"10.17772\/gp\/61551"},{"key":"59516","doi-asserted-by":"crossref","unstructured":"Polat M, Kahramanoglu I, Senol T, et al. Comparison of the effect of laparoscopic andabdominal hysterectomy on lower urinary tract function, vaginal length, and dyspareunia: A randomized clini-cal trial. J Laparoendosc Adv Surg Tech. 2016; 26:116.","DOI":"10.1089\/lap.2015.0437"},{"key":"59517","doi-asserted-by":"crossref","unstructured":"Heydari F, Motaghed Z, Abbaszadeh S. Relationship between hysterectomy and severity of female stress urinary incontinence. Electron Physician. 2017; 9:4678.","DOI":"10.19082\/4678"},{"key":"59518","doi-asserted-by":"crossref","unstructured":"Pomian A, Majkusiak W, Kociszewski J, et al. Demographic fea-tures of female urethra length. Neurourol. Urodynamics. 2018; 37:1751.","DOI":"10.1002\/nau.23509"},{"key":"59519","doi-asserted-by":"crossref","unstructured":"El-Toukhy T A, He\ufb01ni M, Davies A, et al. 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