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Related Concept Videos

Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Urinary Bladder01:23

Urinary Bladder

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
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Anatomy of the Genitourinary System II: Bladder and Urethra01:19

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The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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Urodynamic Studies: Uroflowmetry01:19

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Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
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Related Experiment Video

Updated: May 3, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Bladder function after radical hysterectomy for cervical cancer.

Rosa M Laterza1, Karl-Dietrich Sievert, Dirk de Ridder

  • 1Division of Gynecology and Gynecological Oncology, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria.

Neurourology and Urodynamics
|February 13, 2014
PubMed
Summary
This summary is machine-generated.

Radical hysterectomy can impact lower urinary tract function. Nerve-sparing techniques show promise in improving bladder function after surgery, though further research is needed.

Keywords:
bladder dysfunctioncervical cancernerve sparingradical hysterectomy

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Area of Science:

  • Gynecologic Oncology
  • Urology
  • Surgical Innovation

Background:

  • Radical hysterectomy, a procedure for gynecologic cancers, can lead to lower urinary tract dysfunction.
  • Disruption of autonomic pelvic innervation during surgery is a suspected cause of bladder issues.
  • The precise pathophysiology of bladder dysfunction post-radical hysterectomy is not fully elucidated.

Purpose of the Study:

  • To review the effects of radical hysterectomy on lower urinary tract function.
  • To evaluate the impact of nerve-sparing surgical techniques on postoperative bladder function.

Main Methods:

  • Comprehensive literature search of PubMed and Medline databases.
  • Keywords included "bladder after radical hysterectomy," "nerve sparing radical hysterectomy," and "urinary dysfunction following radical hysterectomy."
  • Manual review of significant findings and cited literature by study authors.

Main Results:

  • Resection of pelvic ligaments and vaginal tissues during radical hysterectomy can disrupt innervation to the lower urinary tract.
  • Bladder dysfunction, both early and late, may have a neurogenic etiology linked to surgical extent.
  • Emerging data suggest urethral sphincter pressure is a factor in postoperative incontinence; nerve-sparing approaches aim to preserve pelvic autonomic innervation.

Conclusions:

  • Nerve-sparing radical hysterectomy techniques demonstrate potential for improved bladder function post-surgery.
  • Comparative studies indicate positive outcomes for lower urinary tract function with nerve-sparing versus standard radical hysterectomy.
  • Long-term clinical trials are necessary to fully understand bladder dysfunction after radical hysterectomy and the benefits of nerve preservation.