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[Decreasing urologic complications by the centralized therapy of cervix cancer]
1Frauenklinik, Friedrich-Schiller-Universität, Jena.
Abstract:
Report about the urologic complications seen in connection with 212 radical hysterectomies performed abdominally according to Wertheim-Held in the time between. 1.4. 1980-15. 12. 1986 in patients suffering from cervical cancer. There were 2 injuries of the urinary bladder while the operation procedure (= 0.9%), no injuries or late fistulas of the ureter. Dilatations of the upper urinary tract in patients treated only operatively were to be stated in 5%, half of them disappeared spontaneously. In case of operation plus postoperative x-ray treatment the rate of upper urinary tract dilatation was higher (= 15%). The centralization of treatment in the therapy of cervical cancer is an important tool for diminishing the rate of urologic complications.