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Urologic complications following abdominoperineal resection
The Journal of Urology
|February 11, 1976
Summary
Abdominoperineal resection can cause significant urological complications. This study aimed to minimize these issues, finding that direct injury was avoided but obstructive uropathy and neurogenic bladder dysfunction remain concerns.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Abdominoperineal resection (APR) is associated with a high incidence of urological complications.
- A retrospective analysis identified 75 urological complications in 52 patients post-APR.
Observation:
- A prospective study was conducted to proactively minimize urological complications following APR.
- Efforts focused on avoiding direct injury leading to obstruction and fistula formation.
Findings:
- Obstructive uropathy occurred in 10 of 25 male patients, identified during preoperative evaluation.
- Neurogenic bladder dysfunction affected 50% of all patients, with long-term issues in 10%.
Implications:
- Preoperative evaluation is crucial for identifying potential obstructive uropathy.
- While direct injuries were mitigated, neurogenic bladder dysfunction requires long-term monitoring post-APR.
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