Urinary Functions after Subtotal Versus Total Abdominal Hysterectomy

Objectives: To assess the effect of abdominal hysterectomy on urinary functions and to compare subtotal and total abdominal hysterectomy as regard urinary functions.Study Design: Prospective study.Patients and Methods: We randomized 50 Egyptian females candidate for hysterectomy for benign conditions to do subtotal or total abdominal hysterectomy. We assessed urinary symptoms, physical examination and urodynamic evaluation preoperatively and six months postoperative.Results: There was no significant difference between subtotal and total abdominal hysterectomy as regard urinary functions.Conclusion: Hysterectomy, whether total or subtotal, did not adversely affect urinary bladder function. Thus, we cannot depend on the effect of hysterectomy on urinary functions as a matter of preference of total or subtotal type of the operation.