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Published on: January 7, 2019
URINARY DYSFUNCTION AFTER SURGICAL TREATMENT FOR RECTAL CANCER.
Fernando Bray Beraldo1, Sonia Ahlaim Ibrahim Yusuf1, Rogério Tadeu Palma1
1Serviço de Gastroenterologia Cirúrgica, Hospital do Servidor Público Estadual de São Paulo, São Paulo, SP, BR.
Rectal cancer surgery can cause urinary dysfunction in 19% of patients. This study found no specific risk factors for this complication after six months, highlighting the need for further research into urinary function after cancer treatment.
Area of Science:
- Oncology
- Urology
- Surgical Outcomes
Background:
- Rectal cancer treatment significantly impacts patient quality of life.
- Urinary dysfunction is a common and relevant complication following rectal cancer surgery.
Purpose of the Study:
- To identify the prevalence of urinary dysfunction after rectal cancer surgery.
- To determine potential risk factors associated with urinary dysfunction in this patient population.
Main Methods:
- A prospective study involving 42 patients undergoing surgical treatment for rectal adenocarcinoma.
- The International Prostatic Symptom Score (IPSS) questionnaire was administered pre-surgery and at 6 months post-surgery.
- Logistic regression and Student's t-test were used to analyze risk factors.
Main Results:
- Six months post-surgery, 19% of patients (8 participants) reported moderate-to-severe urinary dysfunction.
- The average IPSS score significantly increased from 1.43 at baseline to 4.62 at 6 months (P<0.001).
- No statistically significant risk factors (age, gender, tumor proximity, neoadjuvant/adjuvant therapy, surgical approach, or duration) were identified.
Conclusions:
- A 19% incidence of moderate to severe urinary dysfunction was observed 6 months after rectal cancer surgery.
- This study did not identify any specific risk factors for urinary dysfunction in the analyzed patient cohort.
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