Relation of Hysterectomy with Urinary Incontinence

Relation of Hysterectomy with Urinary Incontinence


  • Saba Seemab Ali Medical Hospital, Islamabad
  • Mehwish Nisar Armed Forces Institute of Rehabilitation Medicine
  • Muhammad Waqas Khan Shahida Islam Medical College
  • Humaira Azam Alam Medical Hospital, Attock
  • Zaheer Qadir Shifa International Hospital, Islamabad
  • Maria Tariq Islamabad Medical and Dental College
  • Muhammad Mustafa Institute of Physical Medicine and Rehabiliataion Sciences, Khyber Medical University, Islamabad Campus, Islamabad
  • Suhail Karim HBS Medical and Dental College, Islamabad



Functional Limitation, Hysterectomy, Impact of life, Quality of life, Urinary incontinence


  • Urinary incontinence is defined by international continence society as “a condition in which involuntary loss of urine is objectively demonstrable and is a social hygiene problem “It refers to the involuntary leakage of urine can be associated with a systemic complication. Its prevalence is higher in women than in men thought it can affect men and women equally. It has the high prevalence due to its impact on the quality of life. The presence of urinary incontinence can be associated with anger; embarrassment related to any clinical condition, with loss of self-esteem and decrease motivation and decrease social, physical quality of life. Moment plausibility is that the bladder is presently overactive because of the surgery or changes in the pelvic floor musculature related with hysterectomy. Urge incontinence causes spillage of urine all of a sudden, related with critical ness and the powerlessness to smother such inclinations. Objective: Aim of this study is to determine urinary incontinence in women with hysterectomy. To assess the impact of urinary incontinence on quality of life of women undergone hysterectomy. Background: Furthermore, this study highlighted the presence of pain, discomfort, alteration of Quality of life and functional limitation due to incontinence of urine associated after Hysterectomy. An observational survey from different hospitals of Rawalpindi and Islamabad was conducted to collect relevant information. Methods: Standard questionnaire tools (UDI-6) and (KHQ) was used to collect data from 100 women using convenient random sampling technique in different hospitals of Rawalpindi and Islamabad. Results: The result revealed that urinary incontinence in women with hysterectomies strongly associated with altered quality of life causing loss of self-esteem leading to an impairment. Conclusion: This study concluded urinary incontinence associated with hysterectomy had pronounced effects on quality of life of women causing physical, social and psychological role limitations and participation restriction.


Agarwal BK, Agarwal N. Urinary incontinence: prevalence, risk factors, impact on quality of life and treatment seeking behaviour among middle aged women. International Surgery Journal. 2017;4(6):1953-8.

Mota RL. Female urinary incontinence and sexuality. International braz j urol. 2017;43:20-8.

Koch M, Mitulovic G, Hanzal E, Umek W, Seyfert S, Mohr T, et al. Urinary proteomic pattern in female stress urinary incontinence: a pilot study. International urogynecology journal. 2016;27(11):1729-34.

Altman D, Granath F, Cnattingius S, Falconer C. Hysterectomy and risk of stress-urinary-incontinence surgery: nationwide cohort study. The Lancet. 2007;370(9597):1494-9.

Roeske N. Quality of life and factors affecting the response to hysterectomy. The Journal of family practice. 1978;7(3):483-8.

Bayram GO, Beji NK. Psychosexual adaptation and quality of life after hysterectomy. Sexuality and disability 2010;28(1):3-13.

Altman D, Granath F, Cnattingius S, Falconer C. Hysterectomy and risk of stress-urinary-incontinence surgery: nationwide cohort study. The Lancet.370(9597):1494-9.

Barlow FH. Physiotherapy in obstetrics and gynaecology. British Medical Journal. 1978;2(6150):1497

Villoro R, Merino M, Hidalgo-Vega A, Jiménez M, Martínez L, Aracil J. Women with urinary incontinence in Spain: Health-related quality of life and the use of healthcare resources. Maturitas.94:52-7.

Brown JS, Sawaya G, Thom DH, Grady D. Hysterectomy and urinary incontinence: a systematic review. The Lancet. 2000;356(9229):535-9.

Saadoun K, Ringa V, Fritel X, Varnoux N, Zins M, Bréart G. Negative impact of urinary incontinence on quality of life, a cross-sectional study among women aged 49-61 years enrolled in the GAZEL cohort. Neurourology and Urodynamics. 2006;25(7):696-702.

Neumann GA, Lauszus FF, Ljungstrøm B, Rasmussen KL. Incidence and remission of urinary incontinence after hysterectomy-a 3-year follow-up study. International Urogynecology Journal. 2007;18(4):379-82.

Milsom I, Ekelund P, Molander U, Arvidsson L, Areskoug B. The Influence of Age, Parity, Oral Contraception, Hysterectomy and Menopause on the Prevalence of Urinary Incontinence in Women. The Journal of Urology. 1993;149(6):1459-62.

Poomalar GK, M. P. Prevalence of urinary incontinence in reproductive women and its impact on quality of life. 2017. 2017;4(5):6.

Azuma, R., Murakami, K., Iwamoto, M., Tanaka, M., Saita, N. and Abe, Y. (2008), Prevalence and risk factors of urinary incontinence and its influence on the quality of life of Japanese women. Nursing & Health Sciences, 10: 151-158.

Sculpher, M. J., Dwyer, N., Byford, S. and Stirrat, G. M. (1996), Randomised trial comparing hysterectomy and transcervical endometrial resection: effect on health related quality of life and costs two years after surgery. BJOG: An International Journal of Obstetrics & Gynaecology, 103: 142-149.

Márta Hock, Szilvia Tóth, Géza Hartmann, Tamás Hartmann, József Bódis, János Garai. Quality of Life, Sexual Functions and Urinary Incontinence After Hysterectomy in Hungarian Women. American Journal of Health Research. Vol. 3, No. 6, 2015, pp. 393-398.

Lekan-Rutledge D. Urinary incontinence strategies for frail elderly women. Urologic Nursing. 2004;24(4):281-304

Erekson EA, Sung VW, DiSilvestro PA, Myers DL. Urinary symptoms and impact on quality of life in women after treatment for endometrial cancer. International urogynecology journal and pelvic floor dysfunction. 2009;20(2):159-63.

Van Der Vaart CH, De Leeuw JRJ, Roovers JPWR, Heintz APM. The effect of urinary incontinence and overactive bladder symptoms on quality of life in young women. BJU International. 2002;90(6):544-9.



DOI: 10.54393/pbmj.v5i1.322
Published: 2022-01-31

How to Cite

Seemab, S. ., Nisar, M. ., Khan, M. W. ., Azam, H. ., Qadir, Z. ., Tariq, M. ., Mustafa, M. ., & Karim, S. . (2022). Relation of Hysterectomy with Urinary Incontinence: Relation of Hysterectomy with Urinary Incontinence. Pakistan BioMedical Journal, 5(1), 304–307.



Original Article


Most read articles by the same author(s)