Bladder function after radical hysterectomy for cervical cancer

Abstract

Nerve-sparing techniques appear to improve bladder function without compromising overall survival. Studies comparing the effects of nerve-sparing radical hysterectomy with standard surgery yielded encouraging results in respect of postoperative lower urinary tract function. Clinical trials with a long period of follow-up are required for better comprehension of the complex pathophysiology of bladder dysfunction after radical hysterectomy.

Tratamiento radical mínimamente invasivo en cáncer de cuello uterino invasor: experiencia de la Clínica Ginecotocológica A

“…No contamos con evaluación de la función sexual o defecatoria en nuestro estudio. Las mismas se pueden ver minimizadas al realizar la técnica de preservación nerviosa (28) . En nuestra serie hubo dos lesiones vesicales que se resolvieron sin inconvenientes por vía laparoscópica con sutura laparoscópica.…”

“…La tasa de recurrencia media para cáncer de cuello en estadios precoces es de 5%, siendo esta similar en la vía tradicional laparotómica y en la vía de mínima invasión (22,28) . En nuestra serie contamos con un seguimiento medio mayor a dos años, siendo este el momento de mayor riesgo de recurrencia.…”

Careful Dissection of the Distal Ureter Is Highly Important in Nerve-sparing Radical Pelvic Surgery: A 3D Reconstruction and Immunohistochemical Characterization of the Vesical Plexus

“…Indeed, urinary incontinence is frequently reported after radical pelvic surgery. 7,17 All gynecologists operating in the pelvis should realize that preservation of the SHP, HN, pelvic splanchnic nerves, and IHP does not automatically warrant sufficient postoperative bladder function when the vesical plexus could still be damaged.…”

Simultaneous Concept Analysis of Diagnoses Related to Urinary Incontinence

“…precipitate urine leakage, denoting the insufficiency of continence mechanisms related to such structures. Nonneurogenic causes of pelvic floor or sphincter injury (Doughty & Burns, 2006;Drake et al, 2016;Gordon, Shorter, Isodi, & Moldwin, 2017;Khandelwal & Kistler, 2013;Laterza et al, 2015;Thiruchelvam et al, 2015), and weakness or relaxation of the urethral sphincter due to injury or neurological disease was exclusively associated condition to this ND (Doughty & Burns, 2006;Drake et al, 2016), although other conditions have also been identified in the literature review. Post-prostatectomized men (Milsom et al, 2017) and men with abdominal obesity (Li, Xu, Nie, Li, & Mao, 2017) were populations highlighted as being exclusively at risk for this ND.…”