Publications by authors named "Catharina Forsgren"

Introduction: Long term effects after hysterectomy, such as a worsening of pelvic floor and sexual function, have been studied with diverse results. Therefore, we investigated the long-term effects of hysterectomy for benign indication on pelvic floor and sexual function as well as differences in outcome depending on mode of hysterectomy.

Material And Methods: In a prospective clinical cohort study, we included 260 women scheduled for hysterectomy who answered validated questionnaires; pelvic floor impact questionnaire (PFIQ-7), pelvic floor distress inventory (PFDI-20) and female sexual function index (FSFI).

View Article and Find Full Text PDF

Introduction: Hysterectomy is one of the most common major surgical procedures in women. The effects of hysterectomy on pelvic floor and sexual function are uncertain. Our objective was to investigate the effects of hysterectomy for benign indications on pelvic floor and sexual function and to compare different modes of surgery.

View Article and Find Full Text PDF

Objectives: To assess whether hysterectomy in patients with endometriosis is associated with higher proportion of complications compared with patients without, and whether route of hysterectomy affects this outcome.

Study Design: This is a population-based retrospective cohort study. Data were prospectively obtained from three National Swedish Registers.

View Article and Find Full Text PDF

Introduction: The study aims to analyze differences between robot-assisted total laparoscopic hysterectomy (RATLH) and total laparoscopic hysterectomy (TLH) in benign indications, emphasizing surgeon and hospital volume.

Material And Methods: All women in Sweden undergoing a total hysterectomy for benign indications with or without a bilateral salpingo-oophorectomy from January 1, 2015 to December 31, 2017 (n = 12 386) were identified from three national Swedish registers. Operative time, blood loss, conversion rate, complications, readmission, reoperation, length of hospital stays, and time to daily life activity were evaluated by univariable and multivariable regression models in RATLH and TLH.

View Article and Find Full Text PDF

Introduction And Hypothesis: This study aims to determine the risk of pelvic organ prolapse (POP) and stress urinary incontinence (SUI) surgery related to mode of hysterectomy focusing on vaginal hysterectomy.

Methods: We performed a nationwide cohort study. Women exposed to hysterectomy on benign indications (n = 118,601) were compared to women unexposed to hysterectomy (n = 579,200).

View Article and Find Full Text PDF

Purpose Of Review: To summarize and describe present knowledge regarding the incidence, cause and risk factors of pelvic organ fistula related to hysterectomy.

Recent Findings: The reported incidence of pelvic organ fistula after hysterectomy ranges from 0.1 to 4% in different studies, and a higher incidence is generally reported after radical hysterectomy compared with hysterectomy on benign indications.

View Article and Find Full Text PDF

Introduction: This study aimed to determine the prevalence of bowel dysfunction and anal incontinence in relation to vaginal vault prolapse surgery in women hysterectomized on benign indications.

Methods: This is a case-control study where women having had sacrocolpopexy (n = 78) were compared with hysterectomized women without sacrocolpopexy (n = 233) using a bowel function questionnaire and the Cleveland Clinic Incontinence Score (CCIS).

Results: Sacrocolpopexy was performed on average 13.

View Article and Find Full Text PDF

Objective: To study the association between hysterectomy for benign indications and pelvic organ fistula disease.

Methods: We conducted a nationwide cohort study based on Swedish health care registers. The cohort consisted of 182,641 women having hysterectomy (exposed cohort) and 525,826 women not undergoing the procedure (unexposed cohort) from the Swedish Inpatient Register 1973-2003.

View Article and Find Full Text PDF

Objective: To investigate the annual rates, types and indications for hysterectomy on benign indications in Sweden 1987-2003.

Design: A nationwide register-based cohort study.

Setting: The Swedish Inpatient Register.

View Article and Find Full Text PDF

Objective: The purpose of this study was to identify risk factors for surgery of vaginal vault prolapse in hysterectomized postmenopausal women.

Design: We conducted a case-control study. The cases were 117 consecutive postmenopausal hysterectomized women who underwent vaginal vault prolapse surgery at Danderyd Hospital or Karolinska Hospital, Stockholm, between 1996 and 2005.

View Article and Find Full Text PDF

Objective: The objective of the study was to compare the prevalence of incontinence disorders in relation with spontaneous vaginal delivery or cesarean section.

Study Design: Two hundred women with spontaneous vaginal deliveries only were compared with 195 women with cesarean deliveries only 10 years after first delivery.

Results: When compared with cesarean section, vaginal delivery was associated with an increased frequency of stress urinary incontinence (P = .

View Article and Find Full Text PDF

Purpose: This study was a prospective evaluation of the long-term effects of hysterectomy on bowel function using self-reported outcome measures on symptoms of constipation, rectal emptying difficulties, and anal incontinence.

Methods: In this prospective cohort study, 120 consecutive patients undergoing hysterectomy for benign conditions answered a questionnaire on bowel habits and anorectal symptoms preoperatively. Forty-four patients underwent vaginal and 76 abdominal hysterectomy.

View Article and Find Full Text PDF