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[Disorders of bladder emptying following abdominal radical operation of cervix cancer]
1Universitäts-Frauenklinik, Graz.
Radical abdominal hysterectomy causes functional disorders of the lower urinary tract. We prospectively evaluated urinary dysfunction in 72 women before 2 weeks, 6 months and 1 year after surgery. The results were compared to those of 10 women who underwent simple abdominal hysterectomy. After radical abdominal hysterectomy 63% of our patients had impaired or absent bladder sensibility at 6 months. Bladder compliance was abnormal in 79% patients at 14 days and in 60% after 6 months and 1 year. Preoperative urethral stress profiles were performed in 58 patients. 69% of the stress profiles showed continence, 31% stress incontinence. 11 initially continent women (22%) developed stress incontinence. We attribute post-operative stress incontinence to surgical trauma, edema, haematoma, scartissue that restricts mobility of the bladder neck.
Radical abdominal hysterectomy causes functional disorders of the lower urinary tract. We prospectively evaluated urinary dysfunction in 72 women before 2 weeks, 6 months and 1 year after surgery. The results were compared to those of 10 women who underwent simple abdominal hysterectomy. After radical abdominal hysterectomy 63% of our patients had impaired or absent bladder sensibility at 6 months. Bladder compliance was abnormal in 79% patients at 14 days and in 60% after 6 months and 1 year. Preoperative urethral stress profiles were performed in 58 patients. 69% of the stress profiles showed continence, 31% stress incontinence. 11 initially continent women (22%) developed stress incontinence. We attribute post-operative stress incontinence to surgical trauma, edema, haematoma, scartissue that restricts mobility of the bladder neck.