Survey of female pelvic floor function of 134 patients after total hysterectomy

Objective To investigate long term pelvic floor function after total hysterectomy.Methods Total 134 benign gynecological diseases(uterine fibroids,adenomyosis,dysfunctional uterine bleeding) patients undergoing total hysterectomy from January 2005 to July 2006 in our hospital were followed up.The materials of receiving routine pelvic examination,pelvic floor muscle strength evaluations,Pelvic Floor Inventory Questionnaire(PFIQ-7) and Pelvic Floor Distress Inventory(PFDI-20) were collected and analyzed.Results ①6-7 years after total hysterectomy,the incidence of stress urinary incontinence was 66.4%,of frequent micturition was 24.6%,of urgent urination was 20.9%,of constipation was21.6% and of pelvic organ prolapsed was 8.2%.②PFMS test results:2 cases(1.5%) were classified as grade Ⅰ,48cases(35.8%) were classified as grade Ⅱ,71 cases(53.0%) were classified as grade Ⅲ,while 13(9.7%) cases were classified as grade Ⅳ.③A median score of PFIQ-7 were 0(0,49) and a median score of PFDI-20 were 5(0,37).Conclusion Hysterectomy may have a long-term effect on female pelvic floor function,especially results in the stress urinary incontinence.