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A case-control study to evaluate urinary tract complications in radical hysterectomy
Nadereh Behtash1, Fatemeh Ghaemmaghami, Haleh Ayatollahi
1Department of Gynaecology Oncology, Tehran University of Medical Sciences, Tehran, Iran. nadbehtash@yahoo.com.
World Journal of Surgical Oncology
|February 18, 2005
Summary
Radical hysterectomy (RH) and simple hysterectomy (SH) showed comparable urinary tract complications. Pre-operative radiation therapy may increase complication risks in cervical cancer patients undergoing RH.
Area of Science:
- Urology
- Gynecologic Oncology
Background:
- Radical hysterectomy (RH) for cervical cancer may impact urinary tract function.
- Simple hysterectomy (SH) serves as a comparison for evaluating these effects.
Purpose of the Study:
- To evaluate urinary tract injuries and dysfunction after RH in cervical cancer patients.
- To compare cystometric parameters and urinary complications between RH and SH.
Main Methods:
- Prospective case-control study.
- 50 patients undergoing RH for cervical cancer.
- 50 patients undergoing SH for benign disease.
- Evaluation of intra-operative and post-operative urinary tract injuries and dysfunction.
Main Results:
- No bladder or urethral injuries in either group.
- One intra-operative ureteral injury in the RH group (p < 0.05).
- Similar rates of urinary tract infections (UTIs) post-surgery.
- RH patients reported more urinary symptoms post-surgery compared to SH patients (p < 0.02).
- No statistically significant differences in urinary residual volume, first urinary sensation, or maximal bladder capacity.
- One urinary fistula case in a patient receiving pre-operative radiation therapy.
Conclusions:
- Urinary tract complications are comparable between RH and SH.
- Expert gynecologic oncology may reduce complications.
- Pre-operative radiation therapy may increase surgical complication risks.