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Related Experiment Videos

Long-term urinary dysfunction after rectal cancer surgery.

C Del Río1, R Sánchez-Santos, V Oreja

  • 1Department of Coloproctology, Department of Digestive Surgery, Hospital de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|April 28, 2004
PubMed
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Urinary dysfunction following rectal cancer surgery is common but often reversible. Most micturition disorders improve significantly within three years, indicating good long-term outcomes for patients.

Area of Science:

  • Urology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Rectal surgery can damage autonomic nerves, leading to urinary dysfunction.
  • Understanding the incidence and reversibility of these disorders is crucial for patient care.

Purpose of the Study:

  • To evaluate the incidence, prevalence, and types of micturition disorders after rectal cancer surgery.
  • To assess the reversibility of these urinary dysfunctions during long-term follow-up.

Main Methods:

  • Prospective study of 45 rectal cancer patients (1993-1998).
  • Exclusion of patients with pre-operative urinary issues.
  • Sequential uroflowmetry and clinical interviews at 3 and 12 months post-surgery.
  • Urodynamic examination for patients with micturition disorders.

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  • Three-year follow-up period.

    • Main Results:

    • 31.3% of patients (14/45) showed urinary alterations at 3 months (incontinence, tenesmus, urgency).
    • By 12 months, only 13.3% (6/45) had persistent symptoms or uroflowmetry abnormalities.
    • After three years, micturition disorders persisted in only 6.6% (3/45) of patients.

    Conclusions:

    • Urinary dysfunction post-rectal cancer excision demonstrates a high degree of reversibility.
    • Significant improvement observed, with 78% of initial alterations resolving by 3 months and 50% of persistent issues resolving by 1 year.