Have you had continence issues after a hysterectomy?

Question

Today was my one month checkup after having a laparoscopic assisted vaginal hysterectomy.

Ever since the surgery I have had some minor continence problems... and I thought it was due to the surgery.  I can't "hold it" very long, in other words, when I have to go, I really have to go....

Also, I have tried doing the Kegel excercises like you do after having a baby... and I find it difficult to do them....  like my muscles aren't working properly.

Today they did a urine test, just to be sure there was no bacteria, and I was unable to stop the stream of urine while doing the "clean catch" specimen.

My question is this:  The doctor said I wouldn't be having this problem due to the surgery, that I probably just have weak muscles.... but this started exactly at the time of my surgery, and I really thought it was because of the surgery... I was stunned that she said it wasn't....

Has anyone else had this problem?  And do you think continuing Kegel excercises will do the trick??

Sandy · Accepted Answer

1.  "Risks of hysterectomy

Hysterectomy is generally very safe, but with any major surgery comes the risk of complications. Such complications include blood clots, infection, excessive bleeding or an adverse reaction to the anesthesia.

Other risks of hysterectomy are:

Damage to your urinary tract, bladder or rectum during surgery, which may require further surgical repair 
Loss of ovarian function 
Early onset of menopause 
Talk with your doctor about the risks of surgery as they apply to you."

2.   "However, one particular long-term complication may be commoner than expected. 

The procedure of hysterectomy can damage the pelvic nerves or the pelvic support structures, either of which may increase the risk of urinary incontinence"

The 1st extract is from the 1st link below and the 2nd from the 2nd link

laurel g · Answer

I did not have any such problems after my surgery. Still, for you, I would ask if the same doctor who gave you the surgery is telling you that there are no physical reasons. It is possible that your dr. messed up, and if so, that doctor is not going to be forth coming in telling you so. I would be checked by a different doctor to see if there is something that was done wrong.

essentiallysolo · Answer

I had the same problem and of course my doctor said the same thing, it wasn't because of the surgery.  But he went on to say it was because of age and I had a bladder lifting surgical procedure, no more incontinence.

kawthing · Answer

sounds like doc is playing "cover my own butt"  get a second, unbiased opinion, or see a specialist

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Have you had continence issues after a hysterectomy?

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