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[Early bladder function disorders following Wertheim surgery. Causes and therapeutic consequences].
Geburtshilfe Und Frauenheilkunde
|June 1, 1983
Summary
Wertheim operations for cervical cancer temporarily impair bladder function, causing reduced capacity and altered pressures. Bladder function mostly recovers but sensitivity issues may persist post-surgery.
Area of Science:
- Urology
- Gynecologic Oncology
- Neurogenic Bladder
Context:
- Investigates post-surgical bladder dysfunction in women undergoing Wertheim operation for cervical cancer.
- Assesses urodynamic parameters including bladder capacity, filling pressure, and urethral occlusion pressure.
- Monitors bladder sensitivity and physiological changes over time.
Purpose:
- To evaluate the impact of Wertheim operation on female bladder function.
- To understand the neurogenic mechanisms underlying post-operative bladder issues.
- To discuss functional infravesical obstruction and its management.
Summary:
- Forty-five women's bladder function was assessed pre- and post-Wertheim operation.
- Significant temporary reductions in bladder capacity and urethral occlusion pressure were observed.
- Bladder sensitivity disturbances were common, with near-complete but not full functional recovery observed by 20 weeks.
Impact:
- Highlights the expected neurogenic bladder issues following Wertheim operation.
- Suggests partial injury to sympathetic nerve fibers contributes to reduced urethral occlusion pressure.
- Recommends perioperative measures and targeted drug therapy based on repeat urodynamic studies for managing infravesical obstruction.