Re: ARTICLE: Hysterectomy May Boost Incontinence Risk/MD PLEASE RESPOND..DR. LYONS..THANK YOU..ANOTHER QUESTION FOR YOU
From: Robin (anonymous@obgyn.net)
Mon, 29 Oct 2007 21:40:40 -0500 (CDT)
Hi Dr. Lyons...
Thank you for your response. Maybe because I am very tired from not
sleeping over the last few days due to stress at work and with my
upcoming LSH (With Dr. Albee), but I am not comprehending what you
wrote. I'm usually pretty good and can understand even more complex
writings, however, I am lost with what you wrote ;)..... I am sure it
is me though.
Are you essentially saying that while this may be in the literature
somewhere, the risk is the same regardless of the patient...whether they
have the surgery or not??
I apologize....thanks for further clarification.
--
Robin
Atlanta
At Mon, 29 Oct 2007, T. Lyons, MD wrote:
>
>Message posted on T. Lyons, MD behalf by: Hope, Fibroid and Women’s
>Health Forum Moderator
>
>This is a statistical aberration. People who have hysterectomy are
>the same group of patients who may need or eventually need hysterectomy
>so one cannot make this assumption of causality for hysterectomy in this
>group.
>
>--
>T. Lyons, MD
>ATLANTA, GA
>
>http://www.thomasllyons.com
>http://www.endocenters.net
>
>http://www.obgyn.net/fibroid-resource-center/?page=/all_advisors/T_Lyons
>
>Note: Opinions expressed here are for educational purposes
> only and, as such, do not constitute a physician-patient
> relationship. This information is not intended to supplant
> the need for you to consult with your physician prior to
> choosing therapeutic options and/or interventions.
> ** Private emails cannot be entertained due to time
> constraints; consequently, they will receive no response.
>
>At Sat, 27 Oct 2007, Robin wrote:
>>
>>Does this apply to a LSH as well? I know one thing I have read and have
>>been told is with a LSH, the cervix is there to help support.
>>Your thoughts??
>>
>>At Fri, 26 Oct 2007, Hope wrote:
>>>
>>>Hysterectomy May Boost Incontinence Risk
>>>When done to treat benign conditions, procedure more than doubled the
>>>odds, study found
>>>
>>>"This 30-year study, conducted between 1973 and 2003, involved more than
>>>165,000 Swedish women who had undergone a hysterectomy and more than
>>>479,500 women who had not.
>>>
>>>The risk of having to undergo surgery for stress urinary incontinence
>>>was 2.4 times higher in the hysterectomy group than in the control
>>>group, regardless of what type of surgical technique was used for the
>>>hysterectomy.
>>>
>>>The highest risk was during the first five years after the hysterectomy,
>>>when the risk was 2.7 times higher.
>>>
>>>The lowest risk was more than 10 years down the line, when the risk was
>>>only 2.1 times higher for patients who had undergone a hysterectomy
>>>compared with those who had not.
>>>
>>>The most logical explanation for the association, according to the
>>>authors, was surgical trauma that can occur when the uterus and cervix
>>>are detached from the pelvic-floor supportive tissues during a
>>>hysterectomy."
>>>
>>>http://www.nlm.nih.gov/medlineplus/news/fullstory_56692.html
>>>
>>>--
>>>Hope, WH Forum Moderator
>>>
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