How is the lower urinary tract affected by gynaecological surgery?

Kilian Walsh, Anthony R Stone

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Many subjective reports have suggested that gynaecological surgery can produce LUTS. Soon after simple hysterectomy changes in voiding are common, but there is no firm evidence that long-term bladder dysfunction is the rule. Radical hysterectomy is more likely to cause prolonged symptoms. The changes after ovarian surgery are related to a change in the hormonal status and its effect on bladder function rather than a neural or vascular phenomenon. Prolapse and incontinence surgery by their very nature will cause a change in voiding function which is well recognized but unpredictable in its pattern. Patients should be warned of a possible change in voiding function at the time of consent, but a change in LUTS should not be deemed as a surgical failure after gynaecological surgery.

Original languageEnglish (US)
Pages (from-to)272-275
Number of pages4
JournalBJU International
Issue number3
StatePublished - Aug 2004


  • Gynaecological surgery
  • Hysterectomy
  • Incontinence
  • Lower urinary tract

ASJC Scopus subject areas

  • Urology


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