Urodynamic Changes in Women Subjected to Gynecological Surgeries

Abstract

Luiz Henrique Carvalho Simões de Melo*, Salvador Vilar Correia Lima, Leslie Clifford Noronha Araújo, Fabio de Oliveira Vilar and Geraldo de Aguiar Cavalcanti

Introduction: Disorders inherent to aging are increasingly present, with voiding dysfunctions and greater submission to surgeries among them.

Objective: To analyze the influence of gynecological surgeries (HT: Hysterectomy and CPP: Colpoperineoplasty) on urodynamic bladder function parameters of adult women.

Methods: A comparative study of urodynamic data from 706 patients was performed at the Urology Service of HC/UFPE (Hospital das Clínicas, Federal University of Pernambuc). Previously, patients with any known clinical factor which could affect bladder function were excluded. These patients were analyzed in groups according to their history of gynecological surgery and age group (Non-elderly/elderly). The control group was composed by women without any gynecological surgery history.

Results: All urodynamic parameters were worse in the elderly subgroup. The fundamental difference between the groups consisted of senility and past gynecological surgeries (higher in the elderly group). In the general female population, a history of gynecological surgeries was related to several alterations in urodynamic parameters. All urodynamic micturition phase parameters were significantly worse in patients with colpoplasty history. Hysterectomy history was also associated to a deterioration in some micturition parameters. However, no relationship between gynecological surgeries and urodynamic changes was found in the elderly women subgroup.

Conclusion: Gynecological surgeries (HT/CPP) do not alter the prevalence and/or intensity of voiding dysfunctions already expected in the older age group of women from the aging process itself. Functional changes in the lower urinary tract resulting from aging are imposed in elderly women, regardless of their gynecological surgery history.