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Related Experiment Videos

[Bladder dysfunction and surgery in the small pelvis. Therapeutic possibilities].

B Schönberger1

  • 1Klinik für Urologie, Universitätsklinikum Charité, Campus Mitte, Berlin. bernd.schoenberger@charite.de

Der Urologe. Ausg. A
|December 12, 2003
PubMed
Summary

Extensive pelvic surgery risks lower urinary tract injury, leading to micturition and bladder storage issues. Urodynamic evaluation and intermittent self-catheterisation are key for managing these post-operative bladder dysfunctions.

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Area of Science:

  • Urology
  • Surgical Oncology
  • Neuro-urology

Context:

  • Pelvic surgeries, particularly extensive ones, pose significant risks to the lower urinary tract's nerve supply and plexus.
  • Direct and indirect injuries to the bladder and its vasculature are critical considerations.

Purpose:

  • To outline the risks and management strategies for lower urinary tract dysfunction following pelvic surgery.
  • To emphasize the role of urodynamic assessment in differentiating and treating post-operative bladder issues.

Summary:

  • Post-operative bladder dysfunction, including micturition disturbances and impaired storage, is common after extensive pelvic procedures.
  • Management involves urodynamic evaluation, suprapubic diversion, and intermittent self-catheterisation to prevent complications.

Related Experiment Videos

  • Pharmacological and neuromodulation therapies can aid in restoring spontaneous micturition, while incontinence requires tailored management.

    • Impact:

    • Highlights the importance of nerve-sparing surgical techniques, balanced with oncological outcomes, to prevent bladder dysfunction.
    • Provides a framework for managing complex post-surgical bladder complications, improving patient quality of life.
    • Underscores the necessity of comprehensive urodynamic assessment for accurate diagnosis and therapeutic decision-making.