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Urinary tract dysfunction after radical hysterectomy for cervical cancer
Gin-Den Chen1, Long-Yau Lin, Po-Hui Wang
1Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, 110, section 2, Chien-Kao N. Road, Taichung 40201, Taiwan. gdchen@hotmail.com
Gynecologic Oncology
|April 26, 2002
Summary
Radical hysterectomy can cause urinary tract dysfunction, with over half of patients needing abdominal straining to void post-surgery. Detrusor instability decreased, but bladder function was impaired due to nerve damage.
Area of Science:
- Urogynecology
- Surgical Oncology
- Oncologic Surgery
Background:
- Radical hysterectomy for cervical cancer can impact bladder function.
- Understanding pre- and post-operative urinary tract function is crucial for patient management.
Purpose of the Study:
- To evaluate urinary tract dysfunction after radical hysterectomy.
- To compare baseline urodynamic parameters in cervical carcinoma patients versus CIN 3 patients.
Main Methods:
- Prospective case-control study.
- Evaluated 32 cervical carcinoma patients and 27 CIN 3 patients.
- Assessed pre- and post-operative urodynamic parameters.
Main Results:
- Preoperative detrusor instability was higher in cervical cancer patients (37.5%) vs. CIN 3 (14.8%).
- Post-radical hysterectomy, 53.1% of cervical cancer patients required abdominal straining to void.
- Significant impairments noted in bladder sensation, capacity, compliance, detrusor function, urethral pressures, and pressure transmission ratio.
Conclusions:
- Urinary tract dysfunction post-hysterectomy may stem from sympathetic and parasympathetic denervation.
- Over half of patients with normal preoperative function required abdominal straining after surgery.