Cerrahi Yaklaşımın İdrar Yolu Fonksiyonuna Etkisi: Laparoskopik ve Vajinal Histerektomi Sonrası Ürodinamik Değişikliklerin Karşılaştırılması

Aim: The rapidly increasing prevalence of gynecological diseases worldwide emphasizes the need for a combination of effective surgical procedures and other treatments. Therefore, this study was conducted to evaluate the urodynamic changes of laparoscopic and vaginal hysterectomy. Materials and Method: A total of 86 participants who underwent hysterectomy for benign reasons between 2017 and 2021 in a tertiary hospital were selected and divided into two groups. Group I included 43 participants treated with vaginal hysterectomy, while group II included 43 participants treated with laparoscopic hysterectomy. ICIQ-FLUTS questionnaire was used and statistical analysis was performed to determine flow rate, voiding time and other factors in both groups. Results: The results from this study showed that there was no change in the initial sensory context in both groups (p = 3.63). Bladder capacity also did not differ in both groups. However, postoperatively, excessive activity in the detrusor muscle was observed in 8 participants (18.6%) in group I, while it was observed in 2 participants (4.6%) in group II. Similarly, the flow rate and residual volume of urine were within the clinical range in both groups. Conclusion: This study has been effective in providing several implications for improving treatment procedures for patients with gynecological diseases.