Postvoid Residual Volume After Radical Hysterectomy for Early-Stage Cervical Cancer: Predictive Factors and a...

Area of Science:

• Gynecologic Oncology
• Urology
• Surgical Outcomes

Background:

• Postoperative bladder dysfunction is a concern after radical hysterectomy.
• Identifying risk factors and predictive markers is crucial for optimizing patient management.

Purpose of the Study:

• Evaluate time to postvoid residual volume normalization after radical hysterectomy.
• Identify risk factors for postoperative bladder dysfunction.
• Establish a predictive threshold for bladder dysfunction to guide management.

Main Methods:

• Retrospective, single-center study of early-stage cervical cancer patients.
• Analysis of patients undergoing type B1 or C1 radical hysterectomy.
• Logistic regression to identify risk factors; Youden index for threshold determination.

Main Results:

• Type C1 radical hysterectomy was associated with a higher risk of voiding dysfunction (OR = 11.46).
• Median time to postvoid residual volume recovery was 1 day for B1 vs. 2.5 days for C1 (p < 0.01).
• A postvoid residual volume ≥170 mL on postoperative day 1 predicted delayed recovery in C1 patients.

Conclusions:

• Surgical radicality (Type C1) is a significant risk factor for postoperative bladder dysfunction.
• A postvoid residual volume ≥170 mL on postoperative day 1 can identify high-risk C1 patients.
• Tailored postoperative voiding management algorithms based on surgical type and PVR are recommended.