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Related Experiment Videos

Vesicourethral dysfunction following pelvic visceral ablative surgery.

S V Yalla, G L Andriole

    The Journal of Urology
    |September 1, 1984
    PubMed
    Summary

    Vesicourethral dysfunction is common after pelvic surgery. Preoperative urodynamic evaluation is recommended to understand and manage these complex postoperative changes.

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    Area of Science:

    • Urology
    • Pelvic Surgery
    • Urodynamics

    Background:

    • Major extirpative pelvic visceral operations can lead to complex vesicourethral dysfunction.
    • Management of these dysfunctions is challenging due to anatomical and functional derangements.

    Observation:

    • This study reviewed 22 patients experiencing vesicourethral dysfunction post-pelvic surgery.
    • Surgical procedures included abdominoperineal resection, proctocolectomy, anterior resection, and radical hysterectomy.
    • Five patients had preoperative studies, and all 22 underwent urodynamic evaluations.

    Findings:

    • Urodynamic evaluations revealed abnormalities in patients undergoing extirpative pelvic visceral surgery.
    • These findings highlight the impact of surgery on lower urinary tract function.
    • Preoperative assessment identified potential issues impacting postoperative outcomes.

    Implications:

    • Routine preoperative urodynamic assessment of the lower urinary tract is crucial.
    • This aids in accurately understanding and managing postoperative vesicourethral changes.
    • Informed preoperative assessment can improve patient outcomes after pelvic surgery.

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