But having a hysterectomy could increase your chances of developing incontinence , a condition in which you leak urine. Here at Virtuosa GYN in San Antonio, Texas, our caring providers would like you to know the relationship between hysterectomies and urinary incontinence. Understanding the connections between the two can help you make the best decisions about your health and well-being. Hysterectomy is a commonly performed procedure.
Most often, it is used to treat uterine fibroids. In addition, we may recommend it for the following conditions:. The type of hysterectomy you receive depends on your medical needs. Incontinence is a condition in which you leak urine. The most common types of incontinence are:. What do you suggest as an appropriate amount of time to be out of work? How long does it take to heal? I have a very stressful job that sucks the life out of me when I'm in good health, so I can't imagine going back if I don't feel percent.
Post-hysterectomy recovery depends on the type of hysterectomy that is being performed. If you are having a laparoscopic procedure, in which the uterus alone is being removed through tiny incisions in the abdomen, you should plan on staying several days in the hospital and at least four weeks at home before returning to work. If you are having a transabdominal surgery, with an incision of several inches below your navel usually a bikini-line shape , and in which both your uterus and ovaries are being removed, you will be in the hospital for four to six days.
You'll probably require four to six weeks at home before you return to work. Is a yearly pelvic exam still necessary after a hysterectomy? I had a complete hysterectomy in When I go for my yearly physical, should I be having a pelvic exam? One doctor I see says yes, but a physician's assistant said I didn't need one.
What is your opinion? Pelvic exams do serve a purpose even in post-hysterectomy women. Most important, if your cervix was not removed, you still need a yearly Pap smear to check for possible cervical cancer cells. But even if the cervix was removed with the rest of the uterus, the pelvic exam is a good way for your doctor to examine the pelvis internally for masses.
There are rarely forms of gynecologic cancers that can arise even after the uterus and ovaries are removed. Serious complications can include nerve damage, allergic reaction and death.
But death is very rare — there's a 1 in , to 1 in , chance of dying after having a general anaesthetic. Being fit and healthy before you have an operation reduces your risk of developing complications. As with all major operations, there's a small risk of heavy bleeding haemorrhage after having a hysterectomy. If you have heavy bleeding, you may need a blood transfusion. It may be possible to repair any damage during the hysterectomy. You may need a temporary catheter to drain your urine or a colostomy to collect your bowel movements.
There's always a risk of an infection after an operation. This could be a wound infection or a urinary tract infection. Is that wrong? Could bladder retraining help me deal with my urge incontinence? Bladder training is in fact an important tool in modifying urinary issues and dealing with urge urinary incontinence.
Most bladders have a very large capacity and store urine at very low pressures. Therefore, holding on to urine and delaying your urge to urinate is unlikely to cause damage in the vast majority of patients.
Certain individuals with underlying neurogenic nerve-mediated bladder problems, very small bladder capacities due to scarring, radiation, or surgery, and patients with surgically enlarged bladders may be at increased risk for upper-urinary-tract deterioration and kidney damage if the bladder is not emptied in a timely manner.
However, these represent exceptional cases. For most men and women with normal bladder capacity, the bladder can be trained to accept larger volumes of urine before responding to the urge to urinate.
The bladder senses that it's filling through a stretch receptor located just beneath the lining of the bladder wall.
These signals are then transmitted to the spinal cord and up to the brain. In many patients with urge incontinence, the problem is a sensory issue in which the bladder becomes conditioned to respond inappropriately to these sensations of fullness.
In other cases, the bladder muscle may become excessively reactive to normal stimuli. Either way, by delaying the urge to urinate repeatedly, in a systematic fashion, it is possible to reduce your frequent need to urinate as well as the urge-incontinence episodes.
The main focus of bladder training is a concept called timed-voiding. With timed-voiding or urination , the individual initially selects an interval of time between bathroom visits that is easy to meet.
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